Wednesday, January 30, 2013

's general knowledge of diagnostic standard of tubercle

's general knowledge of diagnostic standard of tubercle
Diagnose: The diagnosis of tubercle is decided by clinical symptom and physical sign and organizes examining alive, other granulation swollen diseases except combining. Its diagnostic standard is summed up: It is symmetrical and swelling that the chest image learns to check and reveal one pair of sides lung door and mediastinal lymph node, accompany or not with the grid, tubercle or flaky shade in the lung; Histology examine, verify, it has to be the intersection of cheese nature and necrosis swollen granulation while being living, resist acid, dye negative; SACE or SL activity increases; It is sIL-2R high in serum or BALF; Old tuberculin (OT) Or PPD tests the masculine gender or weak and positive; Lymphocyte under BALF> 10%, and CD4 + CD8 + ratio is greater than or equal to 3; High blood calcium, high urine; Kveim tests the masculine gender; Except tuberculosis or others is swollen in granulation for disease. In the above-mentioned nine conditions, It is the essential condition, the others are secondary conditions.
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