Check _'s treatment in diagnosis of tubercle

Check _'s treatment in diagnosis of tubercle
Diagnose:The active judgement of of tubercle: Whether tubercle is moved and used mainly in confirming whether swollen inflammation of the granulation is going on; Not big to determining whether to treat the meaning or not. If the organ function is fair, there is not symptom or slight granulation swollen inflammation that is uncertain the need is treated. At present, the therapeutic determination based on repeated clinical examination and organ function of decision. Clinical manifestation can help to judge the disease activity, but not accurate enough. Image study, contribute to, find out about activity of disease with the intersection of lung and change of function. The lymphocyte percentage that someone recommends irritating lotion through determining the bronchus alveolus reflects lung essence inflammation; The percentage of lymphocytes rises and points out " The high strength " Alveolus inflammation. 67Ga lung scans and can reflect inflammation, but still need studying to fix through being more extensive and prospective. Raise being swollen in granulation sACE or at skin kinds of cell outgrowth result,determine whether sACE be can use for not lasting disease activitied level, but its dependability has not been fully verified yet. In a word, the active determination of of tubercle mainly includes determination of sACE, 67Ga scan and irritate the inspection of lotion with the bronchus alveolus.
Check in the laboratory:The blood routine is not unusual more, but there is anaemia occasionally. Activity issues of blood intermediate to reduce in lymphocyte for around blood like being with high uncertainty. Having a liking for acid cells can increase temporarily. The accidental blood platelet reduces and purpura. Erythrocyte sedimentation rate can be accelerated; 2%- 10% amalgamate hypercalcemia disease and high urine. The immunoglobulin (Ig) density generally increases, IgM, IgA and IgG raise, the black person exceeds the white man. A few cases of C - response albumen can increase. Pathological change invade and skeleton, and at the liver, alkaline phosphatase can rise.
Other auxiliary examination:The chest is usually normal in physical examination ' But it is unusually extensive that the X-ray may exist) . Besides Lofgren's syndrome, have not usually generated heat. Other positive physical sign swollen or fiber take have something to do with in granulation of system with special organ more. For instance, skin lower tubercles or muscle tubercles. The crack light may find eye pathological change to check. Palpation can and intermediate to increase liver splenomegaly in lymph node. It is out of shape to brief skeleton on pathological change for toe to mean, the chronic case can demonstrate that point (toe) First lacks nutrition. In addition, there may also be physical sign of acute arthritis.
1.Perspect, check CT in chest check chest slice to find main means, tubercle of disease in the chest while being ordinary, mainly shown in the following several aspects:
The enlargement of lymph nodes in the chest: Including the lung door, mediastinal enlargement of lymph nodes. The enlargement of lymph nodes of lung door regards symmetry of both sides as the characteristic, accounts for 90%- 95%, only enlargement of lymph nodes person only accounts for 1%- 3% on one side lung door. It is generally relatively obvious on the left side that the right side lung door is swelling. The enlargement of lymph nodes of many groups is its characteristic. Every lymph node that increase can size close, can also stress so as to a group of lymphadenovaris. The swelling lymph node realm is clear, the density is even, take the form of round or potato. Enlargement of lymph nodes it is mediastinal in after before on location slice, show as whether increase wide one side or dual side shades mediastinal, nearly have half the number case with the enlargement of lymph nodes by the trachea in right. The lymph most often infringed becomes the mediastinal and aorta window lymph node in dual side lungs door, right.
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