Tuberculosis of intestine is checked with the differential diagnosis _'s treatment

Tuberculosis of intestine is checked with the differential diagnosis _'s treatment
Check in the laboratory
First, blood are checked
Ulcer type tuberculosis of intestine can have intermediate anaemia, leucocyte count normal, on the high side lymphocyte, erupt leucocyte counting and neutral cells increase while infecting simultaneously. Most of erythrocyte sedimentation rate are obviously accelerated, can be regarded as one of the indexes of estimating the pathological change activity intensity of tuberculosis.

2, excrement and urine resist the sour bacillus, check
The excrement and urine of ulcer type tuberculosis of intestine is presented, pasted kind more, can not generally observe mucus and suppuration blood, routine inspection can be seen a small amount of suppuration cells and erythrocytes. The excrement and urine looks for the tuberculosis fungus after concentrating, check the diagnosis that the positive patient contributes to tuberculosis of intestine, must go on the intersection of phlegm and liquid concentrate, let the intersection of tuberculosis and fungus at the same time; Negative such as the phlegm liquid and the excrement and urine is positive and meaningful.

Third, X-ray examination
There is definite value on diagnosis of tuberculosis of intestine in the X-ray examination of barium meal. Barium meal is checked besides defining intestinal organic disease, can also find out about the situation of its function. Have intestinal obstruction or or extensive involving the intersection of colon and other position person pathological change, should make barium pharmaceutical enema inspection first.

The main manifestation of the X-ray has ( 1) The movement speed of intestines, barium pharmaceutical is often all or almost all emptied within 24 hours; ( 2) Persons who are going back to the blind department of pathological change, the stagnat and incomplete shadow of barium meal of caecum of producing the ileum harmony; ( 3) Pathological change invade and at the colon, promote colon, transverse colon, even descending colon,etc. except that all surge, get into the phenomenon, cause the incomplete shadow of barium meal, wide abnormality and colon bag disappear outside; ( 4) Pathological change invades and small intestine, can accelerate the motive force of small intestine and the intestines wall elasticity is uneven, divide and form the phenomenon. Barium pharmaceutical present the intersection of snow flake and kind, distribute, small intestine edge can the sawtooth kind change; ( 5) When the intestine are narrow, the X-ray reveals intestines a of expanding and incompleteness intestinal obstruction in the narrow upside.

Increase the intersection of natural disposition and tuberculosis of intestine, show as caecum or the intersection of nearby and enteric piece their full of defect mainly, the mucomembranous pleat disorder, intestines wall increase thick and stiff, a of narrow, narrow near intestines songs of intestines to expand, and other incompleteness intestinal obstruction signs.

Fourth, tuberculin test
To increasing the meaning of tuberculosis of intestine of natural disposition bigger, such as tuberculin 1: 10,It is positive that 000 is tested, there is certain reference value.

Fifth, fibrous colon mirror is checked
General non-performance conventional to check, pathological change involve the intersection of upside and colon, make fibrous colon mirror check and the intersection of intestines and mucous membrane live, examine, can define property and range of pathological change for instance.

Diagnosis
Comparing the case in later period seriously, because there are open pulmonary tuberculosis evidences, and with symptom of suffering from abdominal pain, suffering from diarrhoea, generating heat etc., diagnose, have difficult generally. Diagnose often in early days because symptom to lack characteristic, and easy to leak, examine. At this moment, the establishment of clinical diagnosis mainly depends on the X-ray examination of intestines and stomach. Until the intersection of tuberculosis of intestine and patient can offer resisting two weeks such as drug therapy such as tuberculosis sufficient doubt, is it clearing up to observe clinical manifestation, in order to diagnose clearly. To the patient of tuberculosis of intestine of hyperplasia type, need to cut open the belly to seek and visit and make a definite diagnosis of finally sometimes.

Differential diagnosis
First, limitation enteritis
Clinical manifestation and X-ray of this disease behave and are similar to tuberculosis of intestine, the main difference lies in the course of disease is generally longer than tuberculosis of intestine, the ones that relieved and recured appeared alternatively; The X-ray sign is in the end section of ileum mainly, there is lines shade not neat of edge, intestines song pathological change is be distributed to be presented by stage,among intestines song with expanding. Complications such as intestinal obstruction, excrement Lou,etc. are generally more common than tuberculosis of intestine, resist tuberculosis and fail to respond to any medical treatment.

Second, the cancer of colon of right side
The onset is old, often over 40, without tuberculosis evidence outside intestines, generally have no tuberculosis and toxic symptom, the condition is presented the going on and developed. The X-ray displays to go back blind department barium pharmaceutical is full of defect, involve the range limitation, do not involve the ileum. Intestinal obstruction and symptom are earlier, the fibrous colon mirror can detect tumour to check, it can verify cancer of colon to live under direct-view and examine.

Third, other
Suffer from abdominal pain, diarrhoea, the case of tuberculosis of intestine of the right belly lump still answers and chronic bacillary dysentery, abscess, intussusception,etc. are distinguished around chronic non- specific ulcer tuberculosis of intestine, chronic appendicitis, chronic appendix.






|