Symptom of the viral pneumonia and _'s symptom of the diagnosis

Symptom of the viral pneumonia and _'s symptom of the diagnosis
Main symptom
Symptom: Weak Generate heat Cough Have a headache
Symptom is described in detail
This disease is generally relatively light in clinical manifestation, similar to symptom of pneumonia of mycoplasma. Get up disease to be slow, have headache, be weak, generate heat, cough, and cough on a small quantity glueing the phlegm. Physical sign is often scarce like. Lung inflammation of X-ray examination takes the form of spot, slice or even shade. The leucocyte is very normal, reduce or slightly increase in total number. The course of disease is generally 1- 2 weeks. Flawed or damaged patient in the immunity, viral pneumonia is often more serious, have hyperpyrexia of continuation, palpitation, out of breath, cyanosis, extremely depleted, can accompany shock, nitrogen blood disease in heart failure. Can breathe poverty-stricken syndrome in edema because of the quality among the alveolus and in the alveolus, the serious one. There can be wet rales in the physical examination. X-ray examination reveals the filling the air nodular infiltration, it is wild to see more 2/3 of the lungs two times.
Diagnosis
First, medical history, symptom:
Get up disease to be slow, have, swallow, do, swallow ache, sneeze, flow tears, generate heat, have a headache, receive difference and the intersection of person who ache and upper respiratory tract symptom all over more initial stage, pathological change involve the lung essence can cough ' Mostly the popping dry cough) ,Such symptoms as the chest aches, breathes hard, the medical history inquires that should pay special attention to having immune defect or immunity to inhibit the situation.
Second, physical examination are found:
There is much and non- obvious physical sign, can hear in the lung underpart sometimes and little bubble sound.
Third, auxiliary examination:
(1) X-ray chest slice,Two lung take the form of netted shade, lung it is thick for lamination to increase, getting serious in the two lungs marching off into political wilderness and can be seen the filling the air nodular shade fuzzy, consolidation person is rare.
(2) The blood is checked: The leucocyte is counted generally normally, it can also be high or on the low side, continue it while taking place the bacterial infection, the leucocyte is counted and neutral cells can increase.
(3) Aetiology is checked:It is relatively difficult for virus to train, difficult to launch while being regular, pneumonia the intersection of phlegm and slide of patient find scattered in the bacterium and having nuclear cells in a large amount only, or can not find pathogens, should suspect the possibility of the viral pneumonia.
(4) Serology is checked:Acute issue and convalescent double serum, complement combine test, neutralize, test and serum inhibit from test antibody, drip degree increase 4 times or the above make a definite diagnosis of meanings. Monitor the specific IgM antibody of the virus with serum in recent years, help to diagnose in early days. Immune fluoro, enzyme unites the immunity to absorb and test, enzyme marks group law, horseradish peroxide enzyme - resist horseradish peroxide enzyme law etc., can diagnose fast the virus specificity.
|