Bronchiectasis 2014-03-04.pptVIP

* * Experimental tests and other Examination can clearly bronchiectasis images for bronchography, due to a traumatic and restricted application. High resolution CT (HRCT) appears, to further improve the sensitivity of CT in diagnosis of bronchiectasis. * * Experimental tests and other Normal bronchial arteriography * * Experimental tests and other Bronchial angiography * * Experimental tests and other Bronchoscopy * * Diagnosis and differential diagnosis According to the repeated expectoration, hemoptysis history and previous history of respiratory tract infection induced by bronchiectasis; HRCT showed abnormal image of bronchiectasis changes. * * Diagnosis and differential diagnosis Bronchoscopy or local bronchography, can clear bleeding, dilatation or obstruction; Fiberbronchoscope lavage locally, take lavage samples were taken, bacteriology and cytology, assist in diagnosis and treatment. * * Differential diagnosis Chronic bronchitis: occurs in the elderly, in the changeable weather in spring and winter, cough, expectoration obvious seasonal, mostly white mucus sputum, appear purulent sputum can infect the acute attack, but no history of recurrent hemoptysis. Auscultation double lung can be heard and scattered in the dry and wet rales. * * Differential diagnosis Lung abscess: Acute onset, high fever, cough, a lot of foul pus phlegm; X-ray examination showed local dense inflammation shadow, with a cavity fluid level. Acute pulmonary abscess after effective antibiotic treatment, inflammation can be completely absorbed and dissipated. If chronic lung abscess is ever more acute pulmonary abscess history. * * Differential diagnosis Pulmonary tuberculosis: usually have fever, night sweats, fatigue, weight loss and other tuberculous toxic symptoms, dry and wet rales in lung local, chest X-ray and sputum examination diagnosis can be made. * * Differential diagnosis Congenital pulmonary cyst: X-ray examination showed multiple boundary slender circular or elliptical shadow