Correct diagnosis of tuberculosis

summary

Now the car emission pollution is more and more, we should stay away from these emission sources, can effectively prevent tuberculosis. How should we correctly identify tuberculosis in our life? Now let's introduce how to differentiate tuberculosis in our life.

Correct diagnosis of tuberculosis

1、 Nontuberculous mycobacterial pulmonary disease: the clinical manifestation of this disease is similar to that of pulmonary tuberculosis, which is difficult to distinguish. Imaging examination showed that the lung lesions were mainly proliferation and fibrous bands, often with cavity formation, which could be manifested as multilocular, often invading two subpleural lung tissues, mainly thin-walled. Most of the lesions involved pleura. Clinically, the separation of symptoms and lesions can be seen, that is, the lung lesions of patients are more extensive, and the symptoms are relatively mild.

2、 Lung cancer: central lung cancer often has blood in the sputum, shadow near the hilar, similar to hilar lymph node tuberculosis. Peripheral lung cancer can be seen as mass or lobulated mass, which should be differentiated from tuberculoma. Lung cancer is more common in male smokers over 40 years old, often without obvious symptoms of tuberculosis poisoning, with irritating cough, chest pain and progressive weight loss. Chest X-ray showed that the edge of mass like lesions often had notch and small burr, and there was no satellite focus around them. Chest CT scan could be used for further differentiation, and lung cancer lesions were often enhanced after enhanced scan. Combined with sputum bacteria, exfoliated cells, and through fiberoptic bronchoscopy and biopsy, it can often be identified in time. But it should be noted that sometimes lung cancer and tuberculosis can coexist. If it is difficult to completely rule out lung cancer in clinical practice, combined with the specific situation, thoracotomy can be considered if necessary to avoid delaying the treatment time.

3、 Lung abscess: the onset of lung abscess is acute, high fever, a large number of purulent sputum, cavity with thick wall, often liquid level. The cavity wall is thin, and there is little liquid level in the cavity. In addition, there were no acid fast bacilli or mycobacteria in the sputum of pulmonary abscess, but there were a variety of other bacteria, the total number of white blood cells and neutrophils increased, and antibiotic treatment was effective. Chronic fibrosis cavity in secondary pulmonary tuberculosis complicated with infection is easily confused with chronic pulmonary abscess, which is negative for acid fast bacilli or mycobacteria in sputum.

matters needing attention

After the detailed introduction of this article, I believe now you have learned how to diagnose and differentiate tuberculosis. These methods are more practical in life. If found to have adverse symptoms, to timely inspection and treatment, so that you can control the disease in time.