Pneumonia and streptococcus pneumonia are diagnosed to check _'s treatment
Diagnose:
1.Medical history characteristic Every age group is very ill, but by having illness coming on more annual and long; Happen, on winter, spring festival or climate become suddenly, have, suffer from cold, drench with rain, hungry, tired often in front of the onset or the upper respiratory tract virus is infected with in the history more.
2.Clinical manifestation characteristic and X-ray examination can be made a definite diagnosis of.
Check in the laboratory:
1.The peripheral blood is alike The blood leucocyte is counted and neutral cells are obviously raised, reach (15-40) *109 L, reach occasionally (50-70) *109 L, takes neutral cells as the core, the core moves to left, it is obvious that is poisoned the particle. But a few infant leucocytes are reduced, indicate that serious.
2.Pathogens are checked Do angry dishes of secretion, blood, thorax accumulate liquid can obtain the pneumonia streptococcus to train. Phlegm the intersection of liquid and direct slide dye mirror, examine, find leather to be blue and positive and succeeding that diagnoses meanings, the phlegm liquid and blood train pneumonia streptococcus and grow, can fix and diagnose, but the positive rate is not high.
3.Serology is checked Pneumonia streptococcus pneumonia infant 10%-30% have bacteremia, but because the early application of antibiotic, the domestic blood trains the positive rate very low. Diagnose to aetiology of pneumonia and streptococcus pneumonia that mostly pass the serological method at present, pneumonia streptococcus antigen in the serum of infant such as determining, urine or saliva, but the author thinks infection and field planting that this France can not distinguish the pneumonia streptococcus. There are reports that are passed and determined serum pneumonia coccus hemolysin (Pneumolysin) recently Antibody, or contain and direct against film many candies of peculiar pod of hammer bacterium of pneumonia, peculiar the intersection of pod and the intersection of membrane and many the intersection of candy and complex, the intersection of albumen and antigenic the intersection of Pneumolysin and the intersection of cycle and immune complex of antibody diagnose, but in baby, sensitiveness its hate enough still. Can gather the blood, urine sample and measure the streptococcus pod membrane antigen of pneumonia by methods such as CIE, LA,etc., test determining with methods such as EIJSA,etc. the pneumonia streptococcus antibody does auxiliary diagnosis by radiating immunity, sterilization strength. C The response albumen is often positive.
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