With what diseases to obscure pulmonary tuberculosis is easy? 's general knowledge
Clinic and X-ray of pulmonary tuberculosis behave. Often similar with tuberculosis pulmonary tuberculosis of many kinds of Africa. It is very apt to misdiagnose. Must emphasize according to the medical history conscientiously. Check the materials in the relevant laboratory. Comprehensive analysis such as the X-ray slice. The essential fashion needs to observe dynamically. Discretion is distinguished.
First. Lung cancer
Central lung cancer often brings the blood in phlegm. There is shade near the lung door. Similar to lung door scrofula. Lung cancer can take the form of ball around type. Divide the foliate piece shadow. Need to distinguish with the tuberculosis ball. Lung cancer sees more and has a liking for cigarette men over 40; Do not often have obvious toxic symptom. Much yes the irritation coughs. The chest becomes thin. Chest one shows in the X-ray there can be satellite focuses around tuberculosis ball. Calcification. And often cut marks on the edge of cancerous swelling focus. Burr. The chest CT scans to distinguishing the two are often helpful. There is CT finding of the central lung cancer in bronchuses the piece shadow of the density of soft tissue is adhered to in increasing the thick bronchus wall on one side. The lump outline is irregular. Lung section and bronchus abnormality of lobe of the lung are narrow. Mediastinal enlargement of lymph nodes,etc.. Combine the phlegm tuberculosis fungus. Loss cells to check and prop up the mirror to check and live and examine etc. through being fine. Can often distinguish in time. The coexisting of lung cancer and pulmonary tuberculosis. Also need to pay attention to finding. Difficult persons who totally get rid of lung cancer on clinic. Combine the detailed conditions. Can consider cutting open the chest to ascertain if necessary. So as not to affect adversely and treat the opportunity.
Two. Pneumonia
Typical pneumonia and coccus pneumonia distinguish with soaking pulmonary tuberculosis that easy. And condition develop faster infiltration type pulmonary tuberculosis. Expand to the whole lobe of the lung. Form a kind of pneumonia of cheese. It is easy to be misdiagnosed as pneumonia and coccus pneumonia. The disease is worried and sudden that the former gets up. Hyperpyrexia. Shiver with cold. The companion is out of breath that the chest aches. Cough ferruginous phlegm. X-ray sign pathological change is often limited to a leaf. Antibiotic is treated effectively. A kind of pneumonia of cheese have tuberculosis that is poisoned symptom more. Get up ill more slowly. Cough the yellow phlegm of mucus. Many leaves on right of pathological change of X-ray sign. Can involve the apex in right. Back segment. Take the form of wadding of cloud. The density is uneven. Can present the worm-eaten kind of cavities. Resist tuberculosis to treat effectively. It is apt to find the tuberculosis fungus in the phlegm.
There are slight coughs. Mycoplasma pneumonia of the low-heat. Viral pneumonia or anaphylactic pneumonia (have a liking for the acid cells lung and soak disease) Inflammatory sign on the X-ray. Similar to soaking pulmonary tuberculosis in early days. To this kind of case for the moment different to distinguish. It should not be eager to resist the tuberculosis treatment. Pneumonia of mycoplasma is usually within short time (2- 3 weeks) Can dissipate by oneself; Soak the shade to often present and swim the going in the lung of the anaphylactic pneumonia. Have a liking for acid cells and increase in the blood.
Three. Lung abscess
The lung abscess cavity sees more the lower leaf of lung. Inflammation around abscess soaks more seriously. Often there are levels of liquid in the cavity. The leaf on the lung happens more in the pulmonary tuberculosis cavity. The cavity wall is relatively thin. Seldom have levels of liquid in the hole. In addition. The disease is relatively urgent that lung abscess arises. Hyperpyrexia. A large amount of suppuration phlegm. Do not have a tuberculosis fungus in the phlegm. But there are many kinds of other bacteria. Total number of blood leucocytes and having a liking for neutral cells to increase. Antibiotic is treated effectively. Apt and chronic lung abscess is obscured when chronic fibrous cavity type pulmonary tuberculosis is amalgamated and infected. The latter's phlegm tuberculosis fungus is negative.
Four. Bronchiectasis
There are chronic coughs. Cough up phlegm and spit blood in the history repeatedly. Need to distinguish with chronic fibrous cavity type pulmonary tuberculosis. But phlegm tuberculosis of bronchiectasis is attacked negatively. Chest stretch does not unusually have more in the X-ray finding or rarely seen some lung lamination increases the shade of thick or curly hair. CT helps to make a definite diagnosis of.
Five. Chronic bronchitis
Old age prop up symptom, exactly like chronic the intersection of fiber and empty pulmonary tuberculosis while being slow. And the morbidity of the elderly's pulmonary tuberculosis increases to some extent in recent years. Need to distinguish the two conscientiously. X-ray examination helps to make a definite diagnosis of in time.
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