南阳及焦作地区初治肺结核住院病人就医及诊断情况调查  

A survey of diagnosis of tuberculosis patients hospitalized for initial treatment in Nanyang and Jiaozuo Districts

作　　者：仝允军 米国强[2] 王艳伟[2] 

机构地区：[1]南阳市中医院,河南南阳473000 [2]焦作煤业(集团)公司中央医院,河南焦作454150

出　　处：《临床误诊误治》2004年第10期693-694,共2页Clinical Misdiagnosis & Mistherapy

摘　　要：目的了解近年南阳、焦作两地区肺结核延误发现情况。方法抽查 1997年 7月至 2 0 0 2年 6月 5 40例初治肺结核住院病人 ,对就诊时间、确诊情况等进行分析。结果 5 40例中延误就诊及延误诊断者 2 3 6例 ,延误率 43 7% ,其中因病人因素延误 82例 ,医生因素延误 97例 ,医患双方因素延误 5 7例。结论各级临床医生均应提高对结核病疫情的重视 ,加强对肺结核高发人群的卫生宣教工作 ,做好肺结核病人归口管理工作 ,提高肺结核的早期诊断率。Objective To comprehend the delayed diagnosis of pulmonary tuberculosis(PTB) in Nanyang and Jiaozuo District over the last five years. Methods 540 cases of PTB hospialized from July 1997 to June,2002 were randomly collected.And the information about their refering time and the time for a confirmed diagnosis were analyzed. Results Of these 540 cases,236 were delayed to seek medical advice or to be correctly diagnosed(43.7%).82 cases were due to factors of patients;delay in 97 cases was caused by medical practitioners;delay in other 57 cases was produced by both patients and medical doctors. Conclusions Clinicians of all ranks should pay more attention to TB epidemic,reinforce the pulicity and education on TB to TB susceptible population,work well with the management of TB patients and improve the rate of TB early diagnosis.

关 键 词：延误诊断 初治肺结核 住院病人 情况调查 高发人群 卫生宣教 病人因素 医患 结论 就医 

分 类 号：R521[医药卫生—内科学] R197[医药卫生—临床医学]