Which pulmonary tuberculosis are to behave and how to diagnose? 's general knowledge

Which pulmonary tuberculosis are to behave and how to diagnose? 's general knowledge
The phlegm tuberculosis fungus is checked not only diagnoses the main basis of pulmonary tuberculosis. It is also the curative effect of examination. Follow up a case by regular visits to the important index of the condition. Patient's phlegm liquid of pulmonary tuberculosis is that the intermittence arranges the fungus. So should check the phlegm many times continuously. X-ray examination is the essential means to diagnose pulmonary tuberculosis. To diagnosing in early days. Confirm the sick position. Range. Properties. Understand it develops and chooses to treat etc. and have important value.
In clinical diagnosis. Our country's off-the-shelf classification includes four parts. Namely pulmonary tuberculosis type. Pathological change range and cavity position. The phlegm fungus is checked. Activity and rotating to return.
First. Pulmonary tuberculosis assign for being five type
Type: Primary pulmonary tuberculosis; 2Type: Blood competent to sow scattered pulmonary tuberculosis; Type: Continue pulmonary tuberculosis of hairdo (including soaking. Fibrous cavity and cheese pneumonia,etc.. ); Type: Tuberculosis pleurisy (including tuberculosis doing pleurisy. Tuberculosis exudative pleurisy. Tuberculosis empyema. ); Type: Tuberculosis outside other lungs.
Two. Pathological change range and cavity position
According to right. Left side. Divide. China. It is recorded and narrate that the lower lung is wild. Pathological change remembers on the above ruler on the right side. Remember left pathological change under the ruler. There are persons who doesn't have pathological change of side. With "(-) " Expression. With before the 2nd and 4 at the intersection of rib and the intersection of bottom flange and inner divide two lung into. China. The lower lung is wild. Person who has cavity. Add on the wild position of corresponding lung " 0" Number.
Three. The phlegm tuberculosis fungus is checked
The phlegm fungus is positive or negative. Separately with (+) Or (-) Expression. By " scribble " . " collect " Or " bank up with earth " Respectively represent slides. Collect the fungus or train the law. The patient has no phlegm or persons who have not checked the phlegm. Mark out " there is not phlegm " Or not checked.
Four. Activity and rotating to return
While judging the activity of pulmonary tuberculosis and rotating to return. Should synthesize the patient's clinical manifestation. Lung pathological change. Cavity and phlegm fungus,etc.. Can divide it into three issues according to the activity intensity of pulmonary tuberculosis and pathological change:
One) Develop for period
Should possess a following one: Newly discovered active pathological change; Pathological change relatively worsens. Increase; Increase the cavity or cavity newly; The phlegm fungus is positive.
Two) Upward swing
Have a following one in order to take a favorable turn: Pathological change is relatively absorbed; The cavity closes or shrinks; The phlegm fungus turns overcast.
Three) Steady one
There is no active change in pathological change. The cavity is closed. The phlegm fungus is negative continuously (check phlegm once at least every month) Up to more than 6 months. If the cavity still exists. Then the phlegm fungus usually takes negative more than 1 year continuously.
Open pulmonary tuberculosis refers to the progress period and some upward swings of pulmonary tuberculosis patient. Often have tuberculosis fungus that is discharged in its phlegm. Have stronger infection. So must isolate for treatment.
Active tuberculosis refers to exudative infiltration pathological change or going bad pathological change such as cheese and a kind of necrosis. The cavity takes shape. It is scattered for bronchus to sow and blood competent to sow scattered the intersection of millet and one type tuberculosis. Symptom is more outstanding on clinic. Develop one and belong to active tuberculosis in upward swing. Develop issues of patient among them except that a few (such as acute competent to sow scattered the intersection of millet and one type tuberculosis blood) Outside. Nearly arrange funguses. The patient also still arrange the fungus in some upward swings. Belong to open pulmonary tuberculosis. Patient's phlegm fungus is negative and does not belong to opening another part of upward swing. The person who arranges fungus needs to isolate for treatment in all phlegm of active tuberculosis.
It is not active tuberculosis that steady patients belong to. Classify as curing preliminarily and clinically; If through observing for two years. Pathological change is still stabilized with the phlegm fungus negatively continuously. Can be regarded as and cured clinically; Like there is the cavity that exists. Need to observe for more than 3 years. If there is no change. Can also be regarded as and cured clinically.
Diagnose that gives an example: Soaking pulmonary tuberculosis =It is last 0 it hit /in scribble(+) Develop for period
The disease is slow that typical pulmonary tuberculosis arises. The course of disease is relatively long. There is low-heat. Languid. Lose the appetite. Cough and spit blood on a small quantity. But most patient focuses are slight. There is no prominent symptom. Even when through the health examination of X-ray and is found. Also made a definite diagnosis of with empty right hemoptysis. There can be slight whole body symptom to trace back to its medical history. Because a few patient get up disease and toxic symptom and respiratory tract symptom that stress suddenly. And is confirmed as acute millet one type pulmonary tuberculosis or cheese and a kind of pneumonia by X-ray examination. Old pulmonary tuberculosis patient. It is easy to be concealed by symptom of the chronic bronchitis all the year round. Accidental undiscovered serious disease and pulmonary tuberculosis. There is hyperpyrexia because of then send, infecting. Have even already developed to septicaemia or breathed depletedly to just seek medical advice. Often present diversification in view of the clinical manifestation of pulmonary tuberculosis. Have already been basically controlled in the tuberculosis epidemic situation. Area with low morbidity. In make a diagnosis work, particularly should it knows their to be typical to displaying at ordinary times medical worker.
Symptom
One) Whole body symptom
Shown as the afternoon low-heat. Weak. The appetite fails. Become thin. Night sweat etc.. If the lung focus develops and sows scatteredly. Often present irregular hyperpyrexia. Women can have menoxenia or amenorrhea.
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