Differential diagnosis _'s treatment of pneumonia

Differential diagnosis _'s treatment of pneumonia
At first must lay the airway infection to distinguish pneumonia and upper airway infection. Though airway infection have cough, expectoration and the intersection of person who generate heat and symptom, all there are their characteristics, upper and lower airway infection do not have lung essence that is soaked, the X-ray examination of chest can be distinguished. Secondly, must similar to others pneumonia pneumonia is distinguished.
Pneumonia should often be distinguished with the following diseases:
(1) Pulmonary tuberculosis Pulmonary tuberculosis have, poison symptom, low-heat, night sweat, tired unable, the intersection of weight and lightening, insomnia, palpitation,etc. in the afternoon all over more. Chest scene sees there are sharp or clavicular from head to foot pathological changes in the lung, the density is not even, are dissipated slowly in the X-ray, and can form and sow in the cavity or lung scatteredly. Can find the tubercle bacillus in the phlegm. The general antibacterial medicine fails to respond to any medical treatment.
(2) Lung cancer It is infected with and poisoned symptom that not acute, take the blood silk in the phlegm sometimes. The blood leucocyte can not be counted high, if find in the phlegm the cancer cell can be made a definite diagnosis of. Lung cancer can accompany obstructive pneumonia of the hair, pneumonia is difficult to dissipate after antibiotic treatment, or can be seen the enlargement of lymph nodes of lung door, the lung appears one. If lung inflammation is difficult to dissipate after antibiotic treatment, or pneumonia appears on the same position after dissipating temporarily, should follow up a case by regular visits to closely, it is history and older patient of smoking to it, need to notice even more, further make CT, MRI, fibrous bronchus mirror and phlegm and loss cells,etc. to check if necessary, so as not to affect adversely and diagnose.
(3) Acute lung abscess Early clinical manifestation is similar to pneumonia and streptococcus pneumonia. But develop with the course of disease of the course of disease, the ones that expectorated the discredited phlegm of a large amount of suppuration for lung abscess are special. The X-ray photograph reveals suppuration and angry liquid are flat, apt to distinguish with pneumonia.
(4) Lung thrombus thromboembolism Factor of having risk of intravenous thrombus more of thrombus thromboembolism of the lung, for instance medical history such as feeling phlebitis of thrombus, heart and lungs disease, wound, operation and tumour, can spit blood, faint, it is relatively obvious to have difficulty in breathing, the neck vein is plentiful, X light chest stretch shows lamination of regional lung to reduce, can be seen in the peak and point to the Tenneco shade of the lung door, artery vim and vigour analysis common hypoxemia disease and low carbonic acid blood disease sometimes. D - gather body, CT lung artery radiography, radioactive nuclide lung to keep in touch with can help to distinguish to pour into inspections such as scanning and MRI,etc. two times.
(5) The non-infective lung is soaked Need, get rid of non-infective the intersection of lung and disease also, such as quality fiber take and lung edema, the intersection of lung and piece, lung have a liking for acid grains of cell soak disease and the intersection of lung and vascular inflammation,etc. among the lung.
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