1 case of multiple pulmonary tuberculosis reported

e707004304 · Wysłany: Wto 0:01, 08 Mar 2011

Multiple pulmonary tuberculosis in 1 case report of the ball

. See bilateral lung fields are lateral chest has four spherical lesions within, and the larger of 1.7 × 1.9, small in size 1.6 × 1.8 and see scattered around the three lesions in the density of small patchy shadow increasing. Lesions were located in the field with the upper lungs. Diagnosis of multiple pulmonary tuberculosis and so the ball does not shift, except lung cancer, given anti-TB combination. Symptoms resolved, six films, absorb more significant than the previous, final diagnosis of multiple tuberculoma. 2 to discuss the formation of multiple tuberculoma may be resistant to the body and tuberculosis virulence is related to the formation of multiple spherical lesions in the lungs,[link widoczny dla zalogowanych], tuberculosis, metastatic lung cancer to sign the ball and do the following: 2.1 parts of TB lesions spherical ball lung disease than the left lung, more common lung upper lobe. Spherical shape and size of tuberculous lesions 2.2 The shape of the ball is round, oval, diameter, mostly in 1-2cm, the metastatic lung tumor sizes. Density of 2.3 TB of spherical lesions more uniform density sphere, seen in its patchy, punctate calcifications, etc.; metastatic tumor density of the basic uniform. 2.4 The majority of spherical lesions realm of tuberculoma edge finishing, surface cottony clouds the rest of fleet fuzzy; metastatic lung tumors sharp edges smooth and sharp. Exchange of experience of the development of Clinical Pharmacy, Liaoning Province Department of Pharmacy, Second Affiliated Hospital of Dalian Medical University (116027) Huang Junzi Fan Guangjun Clinical Pharmacy (clinicalpharmacy) as an emerging pharmaceutical disciplines, from formation to the twists and turns, through an extraordinary course. Whether domestic or foreign, the development of clinical pharmacy has become the development direction of the hospital pharmacy. Hospital doctors, nurses who heal the sick, saving lives in the place; is the patient's life, life entrusted place. For a long time in the human {f3, D is the head of the angels for their pain relief, the doctors and nurses who guarded day and night. With the development of medical and health sector and the deepening of reform and opening up the international exchange of the growing number of horizontal. More and more advanced experience and medical models displayed in our eyes. The whole of the Pharmaceutical Care (integratedpharmaceuticalcare) health care system is bound to the old injection of fresh blood, bringing vitality. 1, the development of clinical pharmacy clinical pharmacy as a whole the focus of pharmaceutical care. Originated in the United States, after 4O years of development has formed a complete, PharmD, clinical pharmacy practice training and training systems,[link widoczny dla zalogowanych], pharmaceutical services popular. The scope of work of clinical pharmacists from the hospital gradually expanded to the whole health system, to provide consulting services directly to patients, participate in treatment decisions,[link widoczny dla zalogowanych], providing drugs and medication knowledge, the effect observed after treatment, adverse reactions and interactions, to enhance the rationality of drug use . Subsequent pharmaceutical care based on the original extended to the full range of patient-centered services. Promote rational drug use, improve people's health, reduce the consumption of health resources. 2 Current status of brain-bed Pharmacy Clinical Pharmacy start I was almost simultaneous with foreign countries, but nearly half a century of development is very delayed. People If1, D is always present in the pharmacist fill a prescription, adjusting, with drugs: the first-and pharmacies, medical supply store, agents together. Even major hospitals in China are offered clinical pharmacy room, its focus is still around the drugs itself. Such as: drug stability, compatibility, prescription screening, preparation process, drug testing methods, quality of drugs in vivo evaluation. Did not really form a patient-centered pharmaceutical care system. 3 gaps in our therapeutic drug monitoring of TDM levels and almost no gap between foreign countries. The top three major hospitals have been carried out over a variety of drugs such as: theophylline, digoxin, anticonvulsants, antidepressants, antineoplastic agents, such as monitoring surrounded by prime A, and according to results provide rationalization of the administration program. Participating in clinical drug treatment. Pharmacists play their professional characteristics, hospitals with medication processes,[link widoczny dla zalogowanych], to assist rational drug use. This requires pharmacists and doctors share a common language, not only understands but also understands medicine doctors, but clearly the change of drug in the body. According to the actual situation of the hospital pharmacists out of pharmacies, in-depth clinical. Rounds from now, listening to the discussion case, bit by bit to learn the accumulation of knowledge through self-enrichment necessary to continuously improve the professional level, gradually gained the trust of health care workers and patients,[link widoczny dla zalogowanych], through the establishment of a complete medical history of patients for clinical drug selection and making treatment recommendations and opinions. Usually in the early rounds of clinical pharmacists access to the ward before the patient's recent medical history, test results and blood concentration monitoring results, combined with the development of disease treatments consider the next step possible. Ward round process, clinical pharmacist and physician visits with patients, patients with temporary orders, and one by one to discuss the adjustment of long-term medical advice on the possible adverse drug reactions and interactions