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Tuberculosis is divided into five categories: 1. Primary tuberculosis (code--including primary syndrome and intrathoracic lymph node tuberculosis; 2. Disseminated pulmonary tuberculosis (code -- including acute miliary, subacute and chronic hematogenous disseminated pulmonary tuberculosis; 3. Secondary tuberculosis (code - is a major type of pulmonary tuberculosis, and the lesions can contain different pathological changes such as proliferation, infiltration, cheese and cavitation; 4. Tuberculous pleurisy (code -- including tuberculous dry pleurisy, exudative pleurisy and tuberculous empyema; 5. Other extrapulmonary tuberculosis (code -- named according to the location and organs, such as bone tuberculosis, tuberculous meningitis, renal tuberculosis, etc.).
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According to the bacteriological examination, pulmonary tuberculosis is divided into: smear-positive tuberculosis and smear-negative tuberculosis.
1) Those who meet one of the following three criteria are smear-positive patients.
1) Newly diagnosed pulmonary tuberculosis patients, direct sputum smear microscopic examination for 2 times sputum bacteria positive.
2) 1 positive smear plus 1 positive culture.
3) Although the first smear was positive, the chest x-ray showed the shadow of active tuberculosis lesions.
2) Pulmonary tuberculosis with at least 2 consecutive sputum smears negative is smear-negative pulmonary tuberculosis. If the culture of Mycobacterium tuberculosis was negative on smear and sputum tuberculosis, it was negative for bacterio-negative pulmonary tuberculosis, and if the smear was negative and the culture was positive, it was only for Peiyang pulmonary tuberculosis. The diagnosis of smear-negative tuberculosis should be combined with clinical manifestations, chest imaging changes and other auxiliary examinations.
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Categories: Healthcare.
Tuberculosis is also known as tuberculosis and''White plague'', is an ancient infectious disease that has had tuberculosis since the beginning of human history. In history, it has been widely popular all over the world and was once the main killer of mankind, claiming the lives of hundreds of millions of people. In 1882, Koho discovered that the causative bacterium of tuberculosis was Mycobacterium tuberculosis, but due to the lack of effective ** drugs, it is still widely prevalent worldwide.
Since the fifties, the epidemic has been somewhat controlled by the continuous discovery of effective anti-tuberculosis drugs. However, in recent years, due to the neglect of tuberculosis in many countries, financial investment has been reduced, coupled with population growth, the increase in migrant population, and the spread of HIV/AIDS infection. As a result, the TB epidemic has declined slowly, and in some countries and regions, it has rebounded.
So, the World Health Organization announced it in 1993"Global TB emergency", determined to be March 24 of each year"World Tuberculosis Day" 。Tuberculosis is also the main disease that causes poverty due to illness and returns to poverty due to illness. Tuberculosis is also a zoonotic infectious disease.
Tuberculosis is not only a public health problem, but also a socio-economic problem. There is a long way to go. As long as we pay attention to it, increase investment, implement modern and scientific control strategies, and fight against it for a long time and without interruption, tuberculosis is a disease that can be controlled.
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1. Laboratory confirmation: culture finds and identifies Mycobacterium tuberculosis. Generally, acid-fast bacilli are also considered tuberculosis bacilli.
2. Clinical diagnosis: there are clinical symptoms, signs, chest X-ray, CT, sputum to find acid-fast bacilli.
3. Clinical preliminary diagnosis: there are clinical symptoms, others are none, or not very consistent.
--Flexible bronchoscopy, irrigation, and brushing can be done.
4. Diagnostic**: high suspicion of tuberculosis, no other indications, anti-tuberculosis**, effective, can diagnose tuberculosis.
PPT is not worth much.
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Sputum examination, chest x-ray. It's more straightforward. There is nothing to be afraid of tuberculosis, you can go directly to the local tuberculosis prevention and treatment center, and if so, the tests are free.
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The diagnosis of pulmonary tuberculosis is based on the following aspects: whether there is a history of exposure to tuberculosis, whether there is this disease in the past, what is your discomfort, the condition on the chest x-ray, sputum test results, PPD examination, and blood tuberculosis antibodies. The diagnosis can be confirmed after the above results are combined.
Sputum examination is a gold indicator, so it is necessary to perform sputum examination several times. You should also have some additional checks now. The initial symptoms of tuberculosis vary, but the most common ones are:
Cough, sputum production, fever, night sweats, fatigue, emaciation, hemoptysis, etc., some people can have no discomfort, and it is found during physical examination.
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