How to distinguish pulmonary tuberculosis pneumonia lung cancer? 's general knowledge

How to distinguish pulmonary tuberculosis, pneumonia, lung cancer? 's general knowledge
In disease of the lung, pulmonary tuberculosis, pneumonia, lung tumour and these three kinds of diseases are the most common, in the patient of our daily contact, often hear the names of these three kinds of diseases. But in several hundred kinds of diseases of the lung, how to come to distinguish pulmonary tuberculosis, pneumonia and lung tumour, claim to be very difficult strictly, is confirmed to be that kind of disease finally, could check the end definitely through being relevant. For example: The pulmonary tuberculosis and resolution of pneumonia are to pass the inspection that the pathogen is the bacteriology finally, lung tumour, benign and malignant difference, the malignant one will find the cancer cell, or pathology check, come on, distinguish after the operation through living organization with benign tumour sometimes, besides, every kind of disease has their particularity. Pulmonary tuberculosis, some patients look for the tubercle bacillus in the phlegm, has found out that fails to find all the time several dozen times; Pneumonia kind is different because of bacterium type, and there can be different pneumonia, such as staphylococcus pneumonia, Escherichia coli pneumonia, green suppuration bacillus pneumonia, streptococcus pneumonia,etc.; Lung cancer can have the intersection of lung and benign tumour because different tissue cells of kind of the cancer cell are different, for instance: Lung constructing tumour, inflammation false tumour, lung lipoma, lung monster and tumour,etc. by mistake. And for example can have pulmonary tuberculosis in the same patient's lung, also there is pneumonia, there can be two kinds of cancers in and tumour, even the same patient's lung. All these prove, the diagnosis to lung disease is one side with its complexity, seem very difficult sometimes.
We find on the books, what kind of symptoms a certain disease has, what kind of physical sign have while checking, but reached on a certain concrete patient, there is so concrete embodiment and give you certain positive physical sign. We know respiratory disease with very much the same in symptom that display at first, generate heat ' Some low-heat) , cough and expectoration, chest ache, night sweat, some cough blood even, which kind of pulmonary tuberculosis it is at this moment very much difficult to confirm to be, especially diagnosis is more difficult in early days at disease, while there are other bacterial infection such as the pulmonary tuberculosis patient, also can have existence of pneumonia at the same time, the patient is not the low-heat at this moment, but there can be hyperpyrexia, expectoration that is will not be white foam phlegm, and there can be phlegm of suppuration. And for example if the pulmonary tuberculosis patient has existence of lung cancer, then, the patient will become thin day by day, the treatment of pulmonary tuberculosis will be unhelpful, because the patient's principal contradiction is lung cancer at this time, for another example: If the patient of tuberculosis pleurisy has existence of lung cancer, then, our thorax punctures and pumps water of chest, water long to compare slow like simple exudative chest of pleurisy, resist into the intersection of consumptive disease and treatment and thorax puncture it smokes to be to will disappear slowly after the liquid. Cancer water of chest that and the cancer cell takes place after infringing the pleura, most patients are the courageous and upright chest water, and grow very fast, after puncturing and drawing water today, will grow out two, three days later.
The tuberculosis fungus in the phlegm is checked, the ordinary pathogen trains, and the one that loss cells in the phlegm is checked (namely the inspection of cancer cell in the phlegm) Can help us to find the pathogen directly.
Chest X-ray photograph: We can find the focal shape on the chest one, size, range, the intersection of density and level and the intersection of position and relation with pleura and mediastinal, heart, focal internal structure,etc. of pathological change. To judge the properties of it according to the characteristic that various lung diseases display on the chest one, chest X-ray slice can have straight location chest slice, side location chest slice, location chest slice, location chest scene, fault chest slice (shoot already seldom by majority by CT nows protrudings oblique, but this checks more economically, can achieve the same purpose of the check sometimes) ,Can also shoot the chest slice according to the body posture that the doctor design.
The thorax punctures the inspection: The thorax punctures and divides the lung to puncture and puncture with the pleura. Can help us carry on biopsy, thorax puncture and lung puncture can also achieve the goal of treating, if the puncture of lung suppuration kind smokes suppuration and pours into the medicine, chest water of the exudative pleurisy is pumped and sucked, can also pour into medicine,etc..
Fibrous the intersection of bronchus and mirror check, the inspection whether fibrous the intersection of bronchus and mirror insert nasal cavity in deep the intersection of trachea and bronchus, go on, observe to the intersection of lung and pieces of bronchus and finds the focus directly directly, also may through organize the inspection pincers, insert, fetch to organize pathology, check the focus position, also can scrub the focus position through the specialized brush, and then scrub the liquid to check, find the pathogen or cancer cell, still can irritate and have treating some pulmonary tuberculosis, dredge small bronchus and thin bronchus, pour into the therapeutic medicine through the bronchus mirror, if there is foreign matter that enters the trachea bronchus, can also insert out with the pliers through the bronchus mirror.
Body layer scans and checks in the electronic computer ' Namely CT) : Function and chest X-ray examination with,it getting more meticulous, level is more, resolution ratio is getting higher, the position of focus is more accurate, if use radiography pharmaceutical while checking, then the vision is clearer, convenient our stereoscopic observation and dynamic change of the sick position observe. Open the chest to ascertain: This needed surgeon's close cooperation of chest, this inspection, it was not the patient of any pulmonary tuberculosis that can do, otherwise the patient is not apt to accept, the doctor will not move the knife rashly either.
Have discussed these in the above, it is not other things, and as your relative, friend, colleague if illness of the lung had better choose one or several kinds above-mentioned inspection methods to check when can't be made a definite diagnosis of finally sometimes, in the hope of making diagnosis as soon as possible, take the effective measure to treat and must not be delayed arbitrarily, sit and lose the therapeutic good opportunity.
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