The thorax accumulates _'s symptom of differential diagnosis of the liquid

The thorax accumulates _'s symptom of differential diagnosis of the liquid
Thorax accumulate liquid mean dirty layers of pleura and accumulating the liquid between the the intersection of wall and one layer of pleuras. Can be caused by many kinds of diseases, but in many kinds of diseases, how to discern which kind of disease causes, clinician familiar with primarily what disease can cause, accumulate liquid on the thorax. Liquid or flow liquid of leaking? The patient's clinical symptom has any characteristics, then combine medical history, symptom, physical sign and carry on comprehensive analysis with other every inspection results. Know its main point, then carry on differential diagnosis. Accumulate liquid differential diagnosis of the common thorax to analyze and sum up as follows now.
A thorax accumulates the classification of the liquid shade
1.1 The infective thorax accumulates the liquid
1.1.1 Tuberculosis exudative the intersection of pleurisy and youth meet more, have, generate heat first at being clinical, then chest ache, aggravate even more when being large to breathe range. There is stimulating dry cough, breathe hard, be hectic, night sweat etc. sometimes. Chest slice check, see one side thorax appear the intersection of level and one density shade, the upper flange can throw the linear shade of the thing instead, heart and mediastinal often to good for the side, transfer accumulate liquid in a large amount. Chest water check tuberculosis antibody positive rate relatively high, all the intersection of it and relatively high response Li. Water of chest is checked: Proportion is above 1.018, lymphocytes are a main fact, protein is greater than 40g/L more. Water of chest can obtain the positive result to train sometimes. How positive the tuberculin test is!
1.1.2 Non- specific infective pleurisy sees more bacterium's pneumonia, erupt the thorax simultaneously and accumulate the liquid, pneumonia symptom of the disease that acute, rising again after generate heat after the antibiotic treatment and does not retreat or heat is returned. And chest ache, cough at the beginning, puncture by chest, cell count above 10000 3 mm, neutral grains of cell take majority among them. And water of chest trains the effective pathogen to grow, can help to diagnose.
1.2 The tumour thorax accumulates the liquid
1.2.1 Malignant tumour thorax accumulate liquid account for tumour thorax accumulate 40% of liquid; In view of type of tumour, gland cancer erupts the thorax simultaneously and accumulates liquid to more see. Early to it oozes out liquid, variable gradually to be courageous and upright the intersection of chest and ink while being faint yellow, looking for can assist to diagnose to loss cells. Have clinically at present and infringe or shift due to pleura commonly directly for lung cancer. With middle-aged and old to see, have chest to be dull pain coughing the intersection of blood and the intersection of silk and phlegm and the intersection of person who become thin and symptom more over the 45. Water of chest is that courage and uprightness, quantity are great, increase fast. Chest water loss cell check and pleura live examine, chest image learn, check and fibrous the intersection of bronchus and mirror check, contribute to, diagnose.
1.2.2 The malignant lymphoma thorax accumulates the liquid uncommonly.
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