The diagnosis of pneumonia and coccus pneumonia and _'s treatment of the differential diagnosis

The diagnosis of pneumonia and coccus pneumonia and _'s treatment of the differential diagnosis
1.Pneumonia and coccus pneumonia are diagnosed
( 1) Get up suddenly disease, the intersection of hyperpyrexia and shiver with cold, chest ache, cough, cough ferruginous phlegm;
( 2) Consolidation physical sign of typical lung;
( 3) The chest X-ray reveals the large stretch of even closely knit shade distributed in lobe of the lung or lung section;
( 4) The blood leucocyte is counted and increased, neutral cell percentages increase, the core moves to left. In addition, the phlegm slide and cause of disease of training helping are diagnosed.
2.Differential diagnosis
( 1) Pneumonia bacillus pneumonia ( Also called the white bacillus pneumonia of CrayResearch) : See more getting old and weak, patient of the original chronic lung illness. Infected with the main pathogen of pneumonia in the courtyard. Get up the intersection of disease and worried sudden, shiver with cold, hyperpyrexia, cough large phlegm, often accompany out of breath, cyanosis and consciousness obstacle, can cough reddish brown jelly a kind of phlegm with characteristic nature. There can be physical sign of consolidation in the lung physical examination, there is wet sound. X-ray examination can be seen the big leaf or small leaf consolidation, the leaf is seen more in right. Shade density relatively pneumonia coccus pneumonia apt to form single shot or occur frequently lung abscess dark. Split and drop in a arc configuration among the common leaves. The phlegm can get the leather to train blue and dye the bacillus of negative pneumonia. It is plain to treat first-selected amino sugar glucoside antibiotic and very beginning spore's fungus. If can two kinds of medicines are shared, curative effect is better, the course of treatment is generally 3- 4 weeks are or longer.
( 2) Golden yellow staphylococcus' pneumonia: See more infant and pre-school children, get old and weak, chronic disease patient and impatient, can be sucked by the respiratory tract or the blood source is infected and causes a disease. The disease present more relaxation one types urgently and suddenly, hotly type or abnormality is hot type to get up, poisonous blood symptom is prominent, cough the phlegm or suppuration blood phlegm of yellow thick suppuration, can take the form of pink milk, dyspnea and cyanosis are obvious. The physical sign of early lung is not obvious, unbecoming with poisoning symptom. It is relatively light that the infeted's respiratory tract symptom of the blood source behaves. Lack some patients, especially because other chronic disease are amalgamated in hospital and infected with gold Portugal a fungus patient, get up disease relax, symptom relatively light, low-heat, cough a small amount of suppuration phlegm. Get old and weak the patient can not have heat or low-heat, are only shown as whole body is depleted, have difficulty in breathing. The phlegm slide mirror can see staphylococcus and suppuration cell into a pile to examine, can solidify the positive staphylococcus of enzyme to train in a large amount. The X-ray examination of chest: The respiratory tract sucks the infeted to present the occuring frequently lung section or lobe of the lung inflammation infiltration pathological change, take the form of stretch of wadding while getting up for the first time, the shade of increasing of the density subsequently, pathological change is developed very fast, can appear cavity rapidly liquid flat apt to form tension the intersection of lung and angry cyst, can erupt simultaneously thorax accumulate liquid or liquid pneumothorax. The infeted of the blood source often form occuring frequently abscess of thin wall rapidly for dual side occuring frequently spot slice or cloud bulk shade, and can erupt suppuration pneumothorax,etc. simultaneously to change. It is the important characteristic of a disease that the X-ray shade is variable, changeable in a short time. Once make a definite diagnosis of, should choose the effective antibiotic treatment, first choose to be able to bear - inner amide antibiotic of penicillin enzyme, can amalgamate and use amino sugar glucoside antibiotic. Use the erythromycin or chlorine forest instead to the allergic one of penicillin mouldly and plainly.
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