Then sending _'s general knowledge of pulmonary tuberculosis

Then sending _'s general knowledge of pulmonary tuberculosis
Continuing, taking place pulmonary tuberculosis is also called adult type pulmonary tuberculosis, in order to be already been infected with the children of tuberculosis, or even behind fully recovering for one period in have illness coming on, already resting originally, active tuberculosis has taken place again, it is possible that it has two kinds that it has illness coming on: Trend towards the activity again for outmoded sending the tubercle bacillus in the cooking stove originally, cause the focus to restart, call the endogenous recurring; One has illness coming on for the external world infects the tubercle bacillus again after sent and infected with curing originallying, claim the other source is dyed again. Sending pulmonary tuberculosis sees more annual long children and teenager over 12 continuously, main and ill type for soaking pulmonary tuberculosis.
Children's soaking pulmonary tuberculosis but because how much is pathological change in the lung, develop and worsen the intensity differently, so symptom, physical sign and X-ray display there difference greatly. It is roughly the same as adult that it passes clinically, but because children's physiology is dissected and characteristic on the biological immunity, its soaking pulmonary tuberculosis is apt to present the going on, sow scattered inclination, both sides pathological change takes place more, it is right with the young woman particularly. The ill rate and mortality of young women are higher than man. Person who soak pulmonary tuberculosis get up disease can relatively slow, poison except tuberculosis symptom can have, generate heat and chest ache, cough, spit, spit blood. Get up disease to be rapid sometimes, like influenza and pneumonia quite. The lung can be knocked and examined the voiced sound when the pathological change range is greater while checking, some respiration is coarse, lower or have alveolus sound of bronchus at the time of auscultation, can hear medium and small bubble sound sometimes. X-ray examination reveals round, slice or group's blocky shade, lie in the top of the lung more. Different from primary pulmonary tuberculosis, the lung door lymph node is not swelling; It soak venereal disease the cooking stoves is easy last cavity liquefaction,then can in on one side of or two lower part of lung take place extensive bronchus last pathological changes scattered. The round person who exceeds 1.5cm of focus diameter taller in density is called tuberculosis tumour or cheese ball. Diagnose that behaves according to clinical symptom and X-ray, about more than half can find the tuberculosis fungus in the phlegm. Infiltration pathological change of soaking pulmonary tuberculosis needs to distinguish with various pneumonia and lung fungi disease; It is distinguished with lung abscess, lung cyst, lung echinococcosis that cavity pathological change answers; Tuberculosis and tumour should be distinguished with lung abscess, sound pulse Lou and various benign, malignant tumour of lung. If can find and treat in early days, the focus absorb more fibrous scleroma. If human resistance is low or delays treating, the progress of pathological change will worsen and can develop into cheese pneumonia. If the course of disease is presented chronically and delayed, the cavity does not close and new sowing the scattered focus appears repeatedly, have extensive fiber nature pathological change cause mediastinal to shift, develop into chronic the intersection of fiber and empty pulmonary tuberculosis gradually, children are being rare. Many rows of fungus, patient of pulmonary tuberculosis, of soaking etc., should isolate and treat actively. Treat principle and adult's pulmonary tuberculosis. When the cheese ball or outmoded cavity is failed to respond to any medical treatment by internal medicine department, can consider the surgical excision treatment.
|