深圳市某看守所结核病调查结果分析  

Analysis of the result of survey on the incidence of pulmonary tuberculosis in a prison in Shenzhen

作　　者：赵梅桂[1] 许东营[2] 黄昌华[3] 谭卫国[2] 潘海宏[1] 卢谭旺[1] 黄德强[1] 陈根铭[1] 

机构地区：[1]深圳市宝安区慢性病防治院,深圳518133 [2]深圳市慢性病防治院,深圳518020 [3]深圳市疗养院,深圳518001

出　　处：《中国防痨杂志》2006年第4期253-255,共3页Chinese Journal of Antituberculosis

摘　　要：目的 了解羁押人群结核病发病情况,为今后羁押人群结核病防治工作的开展提供理论依据.方法 对深圳市某看守所4 228名羁押人员进行胸部X线缩影片筛查,可疑肺部阴影者全部行X线胸片复查和痰涂片3次检查.结果 X线胸片异常阴影92例,其中稳定性病灶34例(37.0%),活动性病灶50例(54.3%)(6例新发涂阳肺结核),8例感染病灶.44例涂阴肺结核病人中,入看守所前有结核病史11例(25%);6例新发涂阳肺结核均有症状,44例涂阴肺结核中,有症状者17例(38.6%);活动性病灶、临床症状和最终确诊时间均大多发生在入看守所后2～6个月和6～12个月2个时间段内.结论 看守所羁押人员结核病患病率显著高于社区,且症状不典型,存在延迟诊断的问题.Objective To investigate the incidence of pulmonary Tuberculosis in a prison.?Methods (4 228) prisoners in a prison in Shenzhen was investigated.The micro chest X-ray was used to screen the patients,and for those with shadow suggesting TB in lung,X-ray and 3-time sputum smear were conducted.?Result 92 cases had abnormal shadow in the lung.By consultation,34 cases(37.0%) were diagnosed as steady focus and 50 cases(54.3%) as active focus(6 cases were diagnosed as new smear positive pulmonary Tuberculosis),8 cases were diagnosed as infectious TB.44 cases were sputum smear negative TB.,among whom 11 cases(25%)had history of pulmonary Tuberculosis before being enrolled into the prison;all the 6 new smear positive cases had symptoms and 17(38.6%) out of the 44 smear negative cases had symptom.Their active focus,clinical symptom and final diagnosis mostly happened in the two periods: from two to six month and six to twelve month after prisoners enrolled into prison.?Conclusion Prevalence of pulmonary tuberculosis among prisoners was markedly higher than the community,their symptom were atypical and diagnosis of pulmonary tuberculosis was often delayed.

关 键 词：结核 肺 看守所 调查 

分 类 号：R52[医药卫生—内科学]