Quality pneumonia among the old age is complementary to check _'s treatment

Quality pneumonia among the old age is complementary to check _'s treatment
Other auxiliary examination: 1. The X-ray examination of chest is one of the commonsense methods which diagnoses a quality lung disease. Early alveolus inflammation reveals the wild fuzzy shade of one pair of lower lungs, it is with obvious early clinical symptom that the density increases and rubs the sand hyalinely, it is easy to be neglected for the patient to seldom go to a doctor, the lung is wild to present the shade of netted shade even netted tubercle inside that the condition further develops, tubercle 1- 5mm is not of uniform size. There is bag not of uniform size that changes and presents the honeycomb lung in later period, the lung volume narrows and lifts on the skin of diaphragm, split, shift among the leaf, develop, diagnose to later period relatively easy, but meaning diagnosed in early days to lose have 30% the intersection of patient and lung live, examine quality the intersection of lung and fiber take prove, nearly already, but the chest is normal in X-ray examination, so X-ray examination is not sensitive enough to alveolus inflammation, and lack the specificity.
Lung CT or high resolution CT: It organize about lung and among can careful in quality reveal whether the establishments of the lungs is getting more valuable very their shapes of changes structural for lung fiber taking and honeycombs early, the characteristic of CT image includes the irregular shadow of blood vessel wall of shadow bronchus of tubercle, four kinds of image tubercles such as linear shadow and wild density of the lung can present in the centre of the small leaf, pleura, vein detailed and intravenous the intersection of bronchus and the intersection of blood vessel and the intersection of wall and abnormality appear on low the intersection of leaf and the intersection of centre and the intersection of bronchus and artery and intravenous detailed a intravenous one as irregular shadow place of the bronchus blood vessel wall Around it is high distinguish CT image to among there last X-ray chest slices ordinary is quality diagnosis of pulmonary tuberculosises, it is very valuable as to early lung fiber and establishment of honeycomb lung. Especially CT image is judging often ILD relying mainly on pathological change in the perimeter has unique diagnosis value.
2.The lung function is checked this checks diagnosis that is a function, but not the stage in early days of pathological diagnosis, it can be totally normal that the lung function is checked, develop as condition, might appear the intersection of lung and unusual the intersection of ILD and most prominent the intersection of lung and function that function check vary abnormal state and the intersection of air exchange and reducing of function to keep in touch with function to. It keeps in touch with functions to be to regard keeping in touch with the obstacle restrictedly as main vital capacity reduce residual volume reduce the intersection of lung and total amount reduce the intersection of 1s and the intersection of time and vital capacity (FEV1.0) too thereupon with condition progress With exerting oneself the vital capacity (FVC) If you can't appear obviously compared with namely 1s rate, rise and if up to supporting by diagnosis of ILD for 90% times already. To can have stingy dishes of the intersection of function and obstacle his V50 while being early ILD, V25 reduce ILD, form fiber, appear V50, V25 increase to can also appear the intersection of air exchange and the intersection of function and obstacle while being early ILD take, such as the disperse function (DLCO) Than early to have, lower promptly once X-ray chest slice finds a quality change DLCO has already been reduced by under 50%. Lung function change and the intersection of lung and relevance of pathological change in the intersection of pathological change and getting slight extremely bad getting serious better relevance. Lung pathological change of person who damages seriously function of all lungs is certainly serious. The intersection of arterial blood and change of oxygen at capacity - the intersection of pressure and curve test in the the intersection of lung and every detection of function and movement, sensitive the intersection of lung and function check to to diagnose and judge prognosis very useful especially observe VC dynamically in early days ILD most at reflecting the intersection of lung and severity that fiber take only, indexes such as FEV1.0DLCO,etc.. Check and could judge the hormone or curative effect that immune inhibitor treats ILD as to the lung function, it is not enough that still different views comment on curative effect only with changes of the lung function.
3.Lung examine lung, live, it examines to be best procedure to diagnose ILD while being living, Divided into two kinds Employ fibrous the intersection of bronchus and mirror make lung, live, examine advantage their easy and simple to handle, security can be regarded routine inspection as while being high, and easy to reexamine. But most scholar think fiber prop up lung that mirror fetch organize too light, ( 50U shows specially fiber 67Ga index taking place lung> of 70% of masculine gender 50U
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