北京中医药大学东方医院对肺结核患者发现状况分析  

Analysis of TB case-finding in Dongfang Hospital Affiliated to Beijing University of Chinese Medicine

作　　者：李安德[1] 王晓才[1] 孙利红[1] 李靖宇[2] 王玲璞[3] 王彤[4] 黄象安[1] 

机构地区：[1]北京中医药大学东方医院感染科,100078 [2]北京中医药大学东方医院感染办公室 [3]北京中医药大学东方医院放射科 [4]北京中医药大学东方医院监护室

出　　处：《中国防痨杂志》2011年第9期575-577,共3页Chinese Journal of Antituberculosis

摘　　要：目的了解北京中医药大学东方医院(综合医院)对肺结核患者的发现状况,及其临床诊断的正确率。方法调查2010年1月至2011年3月在东方医院门诊和住院的患者中,临床诊断为"肺结核"的患者96例,全部给予转诊和网络上报。对96例患者以进行电话追踪询问的方式,询问患者去结核病防治机构或专科医院就诊情况及诊断结果。结果 96例患者转诊到北京胸科医院诊治27例,转诊到北京5家区结核病防治所诊治65例,转回原籍诊治4例。经追踪,最终明确诊断62例,诊断符合率72.09%(62/86),误诊18例,未明确诊断6例,追踪失访10例。结论综合医院仍是结核病患者首诊的重要场所,需进一步提高综合医院医生的结核病诊断水平,提高诊断符合率。Objective To analyse the situation of tuberculosis case-finding and accuracy of clinical diagnosis in a general hospital. Methods Ninety-six patients clinically diagnosed with tuberculosis in Dongfang hospital from January 2010 to March 2011were transferred to other hospitals and reported via network were followed up for their diagnosis and treatment in other hospitals by phone. Results Among 96 cases,27 were transferred to Beijing Chest Hospital,while 65 to other tuberculosis dispensaries,4 went back home and 10 cases lost contact.Sixty-two cases of the 86 tracked patients were exactly diagnosed（62/86,72.09%）,18 cases misdiagnosed,6 cases without identified diagnosis. Conclusion General hospitals are important parts in tuberculosis detection.They should further close their contact with TB Specialist agencies and improve their staff to increase the accuracy of TB diagnosis.

关 键 词：结核 肺/预防和控制 病人转诊 综合 

分 类 号：R521[医药卫生—内科学]