Науқасты қарау
Науқасты қарағанда-инфекциялық-токсикалық шок көріністеріне байланысты ауыр немесе өте ауыр болады. Терісі бозарған, цианозды (ерін, саусақ ұштары).
1-2аптаның ішінде науқастардың жағдайы нашарлайды, интоксикация көріністері өршиді: дене температурасы 39-40º-қа дейін жоғарылайды, түндегі терлегіштік, әлсіздік, тахикардия, акрацианоз;
Перкуссияда тимпанды өкпелік дыбыс анықталады;
Аускультацияда қатаң немесе әлсіреген дыбыс, аз мөлшерде құрғақ және майда ылғалды сырылдар, әсіресе паравертебралды аймақта анықталады.
Бауыр және көкбауыр аздап ұлғайған. Пульстің айқын лабильділігі, тахикардия байқалады. Туберкулинді сынама көбінесе жалған теріс болады (теріс анергия).
Зертханалық көрсеткіштер:
Гематологиялық ығысулар аурудың басында лейкоцитозбен 15—18 • 109/л-ге дейін, кейін лейкопениямен 4—5 • 10’9/л және тромбоцитопениямен 90—100 * 109/л ауысады.
Бір уақытта эозинопения, лимфопения, солға ығысумен қатыстық нейтрофилез, бірақ цитоплазманың токсикалық түйіршігінсіз, ЭТЖ бірден жоғарылаған 40—50 мм/сағ дейін. Зәрде кейде нәруыз, микрогематурия, оң диазореакция анықталады.
Милиарлы туберкулездің рентгенологиялық көрінісі бірінші
күндері өкпе суретінің мөлдірлігінің диффузды төмендеуімен, аралық тіннің қабынулық тығыздалуына байланысты майда ілмектік тордың пайда болуымен көрінеді. Тек аурудың 7-і күні қарау рентгенограммасында дөңгеленген формалы бірнеше жақсы шектелген тары дәніндей өлшемді, тізбектеліп өкпенің жоғарғы және ортаңғы бөліктерінде симметриялы орналасқан ошақтарды көруге болады,жиі өкпенің барлық аймағында. Тотальды себілу екі өкпеде де симметриялы, майда біртитпі ошақтармен. Егер процесс өрши берсе, плевра мен менингиальды қабаттар да зақымдалады.
Ошақтардың интенсивтілігікіші немесе орташа, бір бірімен қосылмайды, симметриялы орналасқан, ортаңғы және төменгі бөліктерде қоюлау. Бұл феномен рентгенограммадағы өкпенің әр бөліміндегі көлеңкелердің бірдей еместігімен түсіндіріледі.
Жеделше гематогенді- диссеминирленген туберкулез
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)
Ірі-ошақты жеделше ағымды гематогенді-диссеминирленген туберкулездің аталуы клиникалық ағымының жеделше түрде өтуіне байланысты емес, ең алдымен процесстің жаңадан басталуына, жақында пайда болған ошақтардың жасының ұқсастығына байланысты; ірі ошақтар (5-10мм) зақымдалған бөлік аралық венадан алыс, сирек өкпе артериясы тармақтарында жоғарғы бөліктің дорсальды және кортико-плевральды бөлімдерінде симметриялы орналасады, қосылу мен ыдырауға бейім.
Перкуссияда жоғарғы бөліктерде және паравертебральды аймақта өкпелік дыбыстың тұйықталуы байқалады. Аускультацияда жауырын аралықта аз мөлшерде майда көпіршікті ылғалды сырылдар, плевраның үйкеліс шуы естіледі. Каверна түзілген жағдайда майда және орташа көпіршікті сырылдар естіледі.
Достарыңызбен бөлісу: |