White pestilence 's general knowledge has come again

White pestilence 's general knowledge has come again
Professor Chen Heng graduated from state-run Shanghai medical college (the medical college of Fudan University now) in 1949 . Have graduated, held a post in Huashan hospital, settled sanatorium, the first tuberculosis of Shanghai of the inner feeling and prevented and cured department's hospital of lung of hospital, Shanghai Antituberculosis Clinic Center, Shanghai. It is Shanghai lung department's hospital, Shanghai asthma dispensary's chief physician, professor now. He is engaged in lung department and tuberculosis medical treatment, prevention and control for more than 50 years, has abundant experiences on diagnosis of lung disease, prevention and cure of differential diagnosis and tuberculosis. A few days ago, on the question of prevention and cure of tuberculosis, reporters carried on the special visit to Professor Chen - -
First of all, Professor Chen introduces: Tuberculosis is a kind of old disease, as early as the 3rd century ago, the ancient medical book of our country recorded this disease, write " accumulate the moon year after year, is stagnat gradually, that die, reply and spread other people after death, and even exterminate a family " . 1882 year, Robert of German scientist the intersection of department and hertz find the tubercle bacillus (call the tuberculosis fungus in the following text) in this kind of patient ,Start to confirm tuberculosis is a kind of disease caused by tuberculosis fungus. Because find in dissection this kind of patient's lung has solid group pieces, feel as the stem tuber of the potato or peanut, therefore call it as " tuberculosis " ,The name of tuberculosis also comes from this. Before the foundation of the state, because of poverty, natural disaster, chaos caused by war, etc., the people have no means of livelihood, it was unable to seek medical advice that people suffered from tuberculosis, also there is not effective medicine to even seek medical advice, cause tuberculosis rampant, the ill rate is up to 4%- 6%, and occur frequently to children and teenagers, mortality occupies the first place in all kinds of diseases. So, there is " the tenth consumptive disease nine dies " among the people The saying, explain it for " white pestilence " . After the foundation of the state, the Party and government showed loving care for people's sufferings, while improving living standard of the broad masses of the people, launch the prevention and control of tuberculosis actively, with the constant appearance of antituberculotic, tuberculosis can be controlled gradually. But because such characteristics as tuberculosis has infective, hiding, drug resistance, obstinate and likely to suffer from, so far, are still threatening the broad masses of the people's health seriously. So, tuberculosis still faces a kind of common disease and frequently-occurring disease in bed. Investigate that estimates through recent pulmonary tuberculosis epidemiology, the national active tuberculosis patient is 5 million, among them 1,500,000 has infective pulmonary tuberculosis patients, nearly 130,000 people die of tuberculosis every year, mean age is 55. 2 years old. Compare with eastern coastal area that is developed of economy in the central and west regions economically under-developed, the case fatality rate is 2 times higher; Ill in the countryside to lead and is far higher than the city, among them, tuberculosis has not been taken into account yet outside the lung. Ministry of Public Health of our country attaches great importance to the prevention and control of tuberculosis, has already classified tuberculosis as " class-B infectious disease " .
Professor Chen tells reporters: The infection source of tuberculosis is a pulmonary tuberculosis patient who can detect the tuberculosis fungus in the phlegm (are abbreviate as " Arrange a fungus pulmonary tuberculosis patient " ),Arrange a fungus pulmonary tuberculosis patient while coughing, sneezing, speaking and making noise loudly, will often spray a large number of droplets, contain more tuberculosis funguses in these droplets. The great droplets will sink after spraying out, but the small droplets can float in the resting air for 20-30 minutes. If healthy people suck the fungus droplets, inletted a small one these into the respiratory tract and can be infected. Have materials reveal one infective 15-20 people within one year, patient of tuberculosis, to arrange fungus that does not treat, the probability infected instead of the persons who keep in close touch is greater.
Professor Chen then says: Most pulmonary tuberculosis patients have certain symptom, so, all it is necessary for the person who has following situation or symptom to go to the section hospital to make and check further: Persons who there is low-heat of the unidentified reason for a long time. Find that there are phlegm blood at various degrees or persons who spit blood. Repeated " cold " , the cough, prolonged persons who do not heal. The reason is unidentified to become thin, weak, persons who night sweat, receive difference or menoxenia. Have it with the phlegm fungus person who keeps in close touch history of positive pulmonary tuberculosis patient. Prove one the intersection of phlegm and the intersection of fungus and positive the intersection of pulmonary tuberculosis and patient, under not using present some antituberculotic standardize the treatment while being clinical, the intersection of tuberculosis and content of fungus can reduce 95% in the phlegm their after the 2 week, tuberculosis content of fungus only original 0 in the phlegm their after the 1 month. 25%- 0. 5%, while fungus quantity is reduced greatly, virulence and vigor of the tuberculosis fungus are reduced greatly, even lose appeal. During treating, symptoms such as the patient's cough,etc. reduce or disappear accordingly too, reduce, cough, right away mean reducing the injection of droplets. Therefore, once find patients and give resisting the tuberculosis treatment of positive norm, having meant stopping to infect, so, find pulmonary tuberculosis in early days a patient is of great significance. At present, smelt the medicine to treat tuberculosis and is divided into a gleam of medicine and Line two medicine. A gleam of medicine is to treat the most effective medicine of tuberculosis at present. Find the patient of tuberculosis for the first time, symptom is often more serious, the tuberculosis fungus is bred vigorously, a gleam of medicine has result of killing the tuberculosis fungus; But it is slow for breeding in they tuberculosis fungus(whether if if you can't strengthen, treat behind stage,tuberculosis fungus at being in the form of dormancy) Can only play a role in restraining the fungus. Line two to restrain the intersection of fungus and pharmaceutical in medicine, collocate, use with a gleam of medicine, may prevent the intersection of tuberculosis and fungus from produce and is able to bear nature. A gleam of medicine is Streptomycin, isonicotinyl hydrazine, rifampin: Line two medicine have man of B amine alcohol and to the intersection of ammonia water and sour sodium, third sulphur different cigarette amine, pyrrole piperazine amide and Fluorine quinoline promise ketone type medicine Yang.
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