Thursday, August 30, 2012

The diagnosis of pulmonary tuberculosis wants _'s general knowledge

The diagnosis of pulmonary tuberculosis wants _'s general knowledge
Tuberculosis is commonly called as " Tuberculosis " ,It is the tubercle bacillus that invades the infection caused in the body, it is a kind of chronic and deferred infectious disease easy to happen of young people.
First, medical history
1. It is exposed to the history or there are enlargement of lymph nodes of pleurisy, neck, and Bacillus Calmette-Guerin that contact the history previouslied to inquire.
2. Have tuberculosis poison symptom, such as low-heat, whole body uncomfortable weak night sweating and appetite drop and cheek flush, etc. A sex of millet and cheese often accompany the hyperpyrexia, some can accompany arthralgia, women can lack proper care.
3. Early dry cough, the phlegm presents suppuration of mucus or suppuration when the cavity forms and amalgamates infecting, spit blood, the chest aches, the serious one has difficulty in breathing.
Second, the intersection of physical examination and early range little pathological change lie in the lung organize the dark department, there can not be unusual physical sign. Pathological change range relatively large, suffer from the side and breathe sport to lower. The percussion presents the voiced sound.
Third, auxiliary examination
1. Activity mostly can find the tuberculosis fungus in the phlegm. When the general slide is checked negatively, should concentrate the law inspection. If is still negative time and again, should train the law.
2. Activity often has slight leucocytes to count and rise. The leucocyte is counted and can be reduced at the time of a sex of acute millet, the appearing blood reacting is alike sometimes.
3. Tuberculin test's diagnosis to baby meaning relatively large, under the age of 3 to brief on, have activity while being positive.
4. Chest X-ray examination with perspecting, after before location chest slice, before if you can't bend by location, take a photograph of by slice, each, lung departments sharp to last scene, fault to last slice.
5. CT alternative application CT, to diagnosing can remedy the deficiency of X-ray examination of chest.
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