大学生肺结核患者78例临床分析  

Clinical analysis of 78 college students with pulmonary tuberculosis

作　　者：裴宁[1] 

机构地区：[1]北京结核病控制研究所,北京100035

出　　处：《山西医科大学学报》2010年第1期50-51,共2页Journal of Shanxi Medical University

摘　　要：目的探讨高校学生肺结核患者临床情况,为大学结核病防治工作提供依据。方法对我所2007-2008年登记的78名在校大学生肺结核患者的病历、登记卡进行分析。结果78例大学生肺结核患者中,有可疑肺结核症状者36例,占46.2%,无症状健康体检发现42例,占53.8%,因症就诊发现肺结核36例,占46.2%。肺部病变超过2个肺野26例,占33.3%,有空洞者14例,占17.9%,菌阳23例,菌阳检出率29.5%,12例患者合并其他部位结核。结论大学生肺结核患者疫情复杂,超过半数患者没有自觉症状,必须采取综合有效措施加强高校的结核病防治工作。Objective To investigate the clinical condition of pulmonary tuberculosis in college students, and to provide the basis for improving TB control and prevention in colleges. Methods Records and register cards of 78 college students with pulmonary tubercu- losis during 2007 - 2008 in Beijing Tuberculosis Control and Research Institute were investigated and analyzed. Results Of 78 pa- tients,53.8% had no symptoms ,46.2% showed suspicious tuberculosis symptoms, and 46.2% came to hospital because of suspicious symptoms. By chest X-ray,33.3% of the patients showed lesions more than two lung fields, and 17.9% was found cavities. The positive sputum smear rate was 29.5%. Conclusion The clinical condition and prevalence among college students is complex. More than half of the cases have no symptoms, so effective comprehensive measures should be adopted for the control of tuberculosis in colleges.

关 键 词：肺结核 大学生 防治 

分 类 号：R521[医药卫生—内科学]