Sunday, January 27, 2013

Tubercle is checked " Four songs " 's general knowledge

Tubercle is checked " Four songs " 's general knowledge
Tubercle (Sarcoidosis) Also calling one kind of tumours of meat has names such as one kind of tumour Schaumann benign lymphocytic granulation swollen diseases of Boeck meat and Besnier and a kind of lupus of hemorrhoid,etc.. It is a kind of chronic granulation swollen disease. Solid to have broken to have the intersection of skin and damage of subjective symptoms also can invade mucous membrane, lymph node, skeleton, organ inside the body and claim the intersection of whole body and sarcomatous disease outside while being routed. Tubercle is whole body disease, most patients anaemia, the leucocyte, blood platelet are reduced in the blood, have a liking for his erythrocyte and increase. Acute issues of erythrocyte sedimentation rate increase fast, chronic issues of serum globulin increase. - 2, and globulin increase obviously. When the liver or skeleton is damaged, serum alkaline phosphatase often increases. It is usually positive that it is tested that cephalin is agglutinate. High blood calcium accounts for 1/3.
1.The great majority of tuberculin test, for the feminine gender or weak and positive.
2.Invertase of angiotensin (angiotensin conkerting enzyme; ACE) Determination
Lieberman points out activity patient's serum ACE level of of a tubercle increases notably. ACE is that a kind of existence combines the glycoprotein in the membrane of lung capillary endothelial cells, can enable the blood vessel usually turn angiotensin 2 on function into stepping up nervously, make blood pressure increase.
3.X-ray examination
The lung door lymph node is often swelling in order to reveal the change of the characteristic lung. The lamination of lung increases thickly, the shade of point-like and tubercle. Carry the phalange and can see the spongy cavity to damage far.
4. if you can't test Kvein not to be, react unusually a cell immunities specific.
The method is as follows: Under operating aseptically, mash the tissue of the tubercle lymph node, dilute with physiological saline into 1: After density 10, filter with the gauze, filtrate and sterilize for two hours at 60 , after aerobic and detest oxygen training and guinea pig and inoculate and confirm aseptically, accede to equal amount of stone charcoal sour physiological saline, dilute to suck 0.25% of the sour antigen of stone charcoal, at the time of the test, 0.1-0.2ml antigen injects covers inside the forearm inside, 6 weeks later, are injecting the position and making skin and living and examining, if have typical the intersection of tubercle and disease, pathology change as positive. The tubercle patient tests the positive rate and more than 90% to Kvein. The false positive rate of healthy people and other disease patient is very low, only accounts for 6.5%, so this test diagnoses value is very high. As disease is relieved, this test can be transferred to negatively.
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