Diagnosis of tuberculosis of intestine and _'s general knowledge of medicine for treatment

Diagnosis of tuberculosis of intestine and _'s general knowledge of medicine for treatment
Summary
Tuberculosis of intestine is that the tuberculosis fungus invades the chronic specific infection that the intestine cause, continue, send tuberculosis outside intestines more, especially open pulmonary tuberculosis, and easy to take place on blind department of answering. Clinical manifestation its, in order to suffer from abdominal pain, stool used to change, belly the intersection of bag and piece and the intersection of person who generate heat, night sweat, become thin and the intersection of tuberculosis and toxicity react, but lack peculiar symptom and physical sign. Disease this patient between twenty and fifty mostly, treatment its take anti-tuberculous drug as the core, through reasonable and fully using medicine, this disease can generally be fully recovered.
Clinical manifestation
1.Poisoned symptom all over: There is weight the active tuberculosis of generating heat, being weak, night sweating, becoming thin etc. of one behave, see more with ulcer type tuberculosis. In addition can accompany tuberculosis, such as pulmonary tuberculosis,etc. outside the intestines. 2.Abdominal pain. 3.The stool is used to changing: Ulcer type tuberculosis of intestine often suffers from diarrhoea, defecate to more than ten times for several times every day, excrement and urine takes the form of pastel or water sample, serious disease person presents the blood of mucus to relieve oneself. Hyperplasia type tuberculosis of intestine is often shown as constipation. Some patients suffer from diarrhoea and replace with constipation because of the function disorder of intestines. 4.The right lower abdomen often has tenderness, can also touch the bag piece that the medium-sized hardness is difficult to push.
Diagnose the basis
1.The patient between twenty and fifty has medical history of tuberculosis outside intestines, it is mainly pulmonary tuberculosis. 2.Have, suffer from abdominal pain, suffer from diarrhoea the intersection of companion and the intersection of tuberculosis and toxic symptom (low-heat, night sweat, the intersection of appetite and drop, the intersection of anaemia and the intersection of and lt; , become thin etc.) . 3.There is lower abdomen lump, there can be intestinal obstruction. 4.And colon mirror lives to examine and find typical tuberculosis and pathological change.
Treat the principle
1.Abundant rest, rational nutrition, supplementing vitamins, supply abundant phosphorus, calcium, iron food. 2.Use medicine in early days, insist on uniting, capacity, law, resisting the drug therapy of tuberculosis in the whole journey. 3.Complication treatment, intestinal obstruction of incompleteness, intestinal perforation, enterorrhagia,etc.. 4.It is therapeutic to perform the operation if necessary.
Principle of using medicine
1.It is especially important to this disease to strengthen the support treatment, should consider supplying nutrition in time in an all-round way. 2.The early patient usually uses and resists a gleam of medicine of tuberculosis, two is united or three is united and treated continuously, examine again. 3.Add and use Line two medicine when curative effect is not good. 4.Poisoned symptom and added and used the adrenocortical hormone seriously all over. 5.Some anti-tuberculous drug is harmful to liver, pay attention to reexamining liver function, protecting the liver if necessary. 6.The condition takes a favorable turn, can reduce the dosage, but still need to maintain for 1-2 years. 7.There are intestinal obstruction, feasible surgery treatment of person who causes fistula of acute intestinal perforation, chronic intestinal perforation, resist 1-2 years such as tuberculosis while being postoperative. 8.Diagnose unidentifiedly that can use trial to treat, capacity, resist tuberculosis treatment for 3-4 weeks.
Auxiliary examination
1.The early patient diagnoses it according to depending on the basic inspection. 2.Serious disease person need solve outside the intestines and the intersection of belly and the intersection of bag and the intersection of position and size and intestinal obstruction of piece need, choose available and check, a certain. 3.Overall solves the organism state, cooperates and uses medicine rationally, choose " B " , " C " . 4.It is difficult to make a definite diagnosis of the differential diagnosis of the need and can be checked (PCR) with the gene .
Curative effect is appraised
1.Cure: Whole body and digestive tract symptom and right lower abdomen tenderness, belly piece disappear, the stool is normal. 2.Take a favorable turn: Blood Shen normal, fibrous the intersection of intestines and mirror and barium enema reveal intestine to be normal, clinical symptom is improved. 3.Have not healed: Poisoned symptom and has not improved all over, erythrocyte sedimentation rate is accelerated, even present complication such as intestinal obstruction, water electrolyte, acid-base balance lack proper care.
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