's treatment of differential diagnosis of the elderly's bronchiectasis

's treatment of differential diagnosis of the elderly's bronchiectasis
Bronchiectasis disease should whether one the intersection of irreversibility and lung damage, must with have similar clinical symptom, physical sign distinguish with the intersection of image and some disease changed to learn. Mainly distinguish with the following diseases.
1.Chronic obstructive lung disease (COPD) Different from bronchiectasis, chronic obstructive pulmonary tuberculosis often has history of smoking or contacts the harmful dust or material job history, shown as chronic coughing, expectoration clinic, phlegm is mostly white mucus, the suppuration phlegm is rare, seldom spit blood, the lung function presents obstructively and keeps in touch with the function obstacle, HRCT often finds the pulmonary emphysema sign in the middle of the small leaf type.
2.Lung abscess Have acute to get up medical history of disease often, disease show as hyperpyrexia, cough and cough a large amount of the intersection of suppuration and bad smell phlegm,etc. for the first time. The chest image can see some inflammation high density shadow to learn to check, it is flat that among them there are cavity and liquid, last single shot often focus,is it many leaf back segment on right, under last section leaf or under basis section behind leaf. Not resisting infection in time, the treatment or curative effect has been not good enough, the cavity presents the chronic fiber in the heavy wall and organizes hyperplasia, the course of disease exceeds 3 months, it is chronic to take shape.
3.Pulmonary tuberculosis Tuberculosis such as the common in the afternoon low-heat, night sweating, becoming thin and weak at night are poisoned symptom; Lung pathological change lie in upper lungs or lower leaves more and carry section, wet sound of the sick position is common more obvious after coughing; The chest image learns to check many kinds of forms of expression such as visible hyperplasia, soaking and cavity; The tubercle bacillus of phlegm can be made a definite diagnosis of while checking the masculine gender.
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