Diagnosis and differentiation _'s treatment of tuberculosis of intestine

Diagnosis and differentiation _'s treatment of tuberculosis of intestine
Diagnose and distinguish:
The diagnosis of the typical case generally has no difficulty. But early period such as disease, because symptom to lack characteristic to be easy to leak, examine often. Following what time can make to diagnosis copies of basis of disease.
First, clinical manifestation have for a long time generate heat, night sweat, abdominal pain, suffer from diarrhoea ' Or constipation) Between twenty and fifty patient.
Second, pulmonary tuberculosis, or original focus, patient of tuberculosis, take a favorable turn already outside the other intestines, digestive tract symptom and tuberculosis and malicious blood symptom meet the persons who aggravate instead.
Third, right lower abdomen lump accompanies the tenderness, or present incompleteness intestinal obstruction with unidentified reason and behave.
Fourth, X-ray examination of intestines and stomach go back to the blind department to surge making, person who fulls of defect or narrow sign of barium pharmaceutical.
To the patient suspected to have tuberculosis of intestine, after getting rid of relevant disease tentatively, when still it is difficult to make a definite diagnosis of, can offer antituberculotic, treat for two weeks, observe curative effect, in order to help to diagnose.
It is distinguished with the following diseases that this disease answers:
First, clone clinical manifestation and the X-ray sign and tuberculosis of intestine of disease, a disease and is extremely exactly like, it is very difficult to distinguish sometimes, what time can through being following assist to diagnose: This disease does not have medical history of tuberculosis outside pulmonary tuberculosis or intestines; The course of disease is generally longer, not resisted the tuberculosis treatment and can be relieved disconnectedly; It does not have tuberculosis fungus that excrement and urine, other body fluid and secretion are checked; The visible pathological change of X-ray examination relies mainly on the fact that the ileum has not been carried, there are multistage intestines songs that are given much trouble, and present segment distribution; Complications such as intestinal obstruction, excrement Lou,etc. are seen more than tuberculosis of intestine; Not having a kind of necrosis of cheese to check to make pathology to excise the sick intestines section, the mirror does not have tubercle bacillus to inoculate with the animal to examine.
Second, the cancer of colon of right side Age is mostly the middle-aged and elderly people over 40 that this disease has illness coming on; There are no tuberculosis poisonous blood disease and tuberculosis medical history such as long-term low-heat, night sweating; The condition is aggravated, whole body symptom of becoming thin, unconvincing, unable etc. is obvious; Belly lump begin mobility to have tenderness appear, the intersection of tuberculosis of intestine and lump surface hard relatively, the tubercle sense is obvious; X-ray examination mainly has barium pharmaceuticals that is full of defect, pathological change limitation, does not involve the ileum; Intestinal obstruction appears earlier, more; The fibrous colon mirror can detect tumour to examine, live and can often make a definite diagnosis of to examine. The morbidity of cancer of colon is higher than tuberculosis of intestine on clinic.
Third, amoeba or snail fever granulation swollen intestines amoeba or snail fever can form swollen pathological change of the granulation, should notice on differential diagnosis. This kind of disease does not have medical history of tuberculosis, the blood of suppuration is relatively common, find the relevant pathogen in the excrement and urine, rectum and colon mirror can often be verified and diagnosed, the corresponding specificity is treated effectively.
Fourth, other diseases are besides above-mentioned disease, tuberculosis of intestine should still be distinguished with the following diseases: Should distinguish with belly type lymphoma, intestines actinomycetes disease to regard suffering from abdominal pain, suffering from diarrhoea as the persons who mainly behave; Should pay attention to avoiding misdiagnosing as acute appendicitis for the persons who mainly behave with the sharp pain of acute right lower abdomen; With chronic to suffer from abdominal pain person of upper abdomen involved to be apt to obscure with peptic ulcer, chronic cholecystitis; Person who stays hyperpyrexia needs to get rid of typhoid fever.
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