深圳市学生肺结核患者249例临床特征分折  

Clinical analysis of 249 students with pulmonary tuberculosis in Shenzhen City

作　　者：吕建文[1] 杨应周[1] 吕德良[1] 吴清芳[1] 张玉华[1] 管红云[1] 车晓玲[1] 李明珍[1] 

机构地区：[1]深圳市慢性病防治中心,广东深圳518020

出　　处：《中国热带医学》2011年第8期945-946,共2页China Tropical Medicine

基　　金：国家"十一五"重大科技专项(No.2009ZX10003-018)

摘　　要：目的探讨深圳市学生肺结核患者临床特征。方法对深圳市2007~2009年登记的249名在校学生肺结核病患者的临床资料进行回顾性分析。结果 249例学生肺结核患者中,男生135例（54.2%）,女生114例（45.8%）,平均年龄为18.34岁,户籍122例（49.0%）,流动人口127例（51.0%）,因症就诊发现肺结核176例,占70.7%,健康体检发现肺结核73例,占29.3%。初治245例（98.4%）。肺部病变有空洞者59例,占23.99%,涂阳检出率47.4%。诊断分型：继发性肺结核占92.8%。初治涂阳治愈率88.0%。结论深圳市学生肺结核外来流动人口比例高,因症就诊比例高,体检发现比例较低,近半数具有传染性,建议定期开展对重点学生人群的健康体检,加强传染源管理和密切接触者筛查,早期发现和早期治疗结核病。Objective To analyze the clinical features of students tuberculosis patients in Shenzhen.Methods The clinical data of 249 registered student patients with pulmonary tuberculosis in Shenzhen from 2007 to 2009 were retrospectively analyzed and compared between groups using Chi-square test.Results There were 135 male cases（54.2%） and 114 female cases（45.8%）,the average age was 18.34years.There were 122 local cases（49.0%）,127 cases in floating population（51.0%）.There 176 TB cases（70.7%） were detected in outpatient department,73 TB cases（29.3%） were detected during health checkup.There 245 patients（98.4%） were initially treated and 59 cases（23.9%） with cavitation,the smear-positive rate was 47.4%.Secondary pulmonary tuberculosis acccounted for 92.8% and the cure rate of new smear positive patients was 88.0%.Conclusions The infection rate of tuberculosis in the students was high and early screening of closely contacted persons be conducted for earlly diagnosis and treatment of TB cases.

关 键 词：肺结核 学生 临床分析 

分 类 号：R521[医药卫生—内科学]