964例初治涂阴肺结核病人诊断和治疗分析  

Diagnosis and Treatment of Smear-Negative Pulmonary Tuberculosis:An Analysis of 964 Cases

作　　者：常婕 

机构地区：[1]高唐县疾病预防控制中心,山东高唐252800

出　　处：《社区医学杂志》2012年第6期1-2,共2页Journal Of Community Medicine

摘　　要：目的分析初治涂阴肺结核病人的诊断和治疗,控制潜在传染。方法对高唐县结核病防治所2001—2010年登记的初治涂阴肺结核病例的管治情况进行汇总回顾性分析。结果 10年共登记初治涂阴病人964例,体检发现318例,因症就诊646例。PPD试验:强阳性764例,一般阳性121例,79例未做。完成疗程941例,痰菌转阳6例,死亡2例,中断治疗15例。胸部X线病灶范围:1～2个肺野728例,3个肺野以上213例。结论菌阴结核病人的诊断应结合胸部X线片、痰菌检查、PPD试验和临床症状综合分析,确诊后应规范治疗,阻止菌阴转阳,控制传染。Objective To analyze the diagnosis and treatment of smear-negative pulmonary tuberculosis and to control potential infections.Methods A retrospective analysis was carried out in patients with smear-negative pulmonary tuberculosis registered in Gaotang during the 2001—2010 period.Results There were 964 cases with smear-negative pulmonary tuberculosis registered during the past 10 years.Among them,318 were revealed by physical examination and 646 were found during their medical treatment.PPD Test showed that strong positive reaction occurred in 764 cases,general positive reaction in 121 cases,and the rest of 79 patients didn＇t take the test.Out of 942 patients who completed the course of treatment,6 achieved positive sputum conversion,2 died and 15 suspended their treatment.Chest X-rays revealed that 728 patients were found to have range of focal lesions in 1-2 pulmonary fields,231 patients over three pulmonary fields.Conclusions The diagnosis of smear-negative pulmonary tuberculosis should be combined with chest X-rays,sputum examination,PPD test and clinical symptoms.Once it is confirmed,standard treatment should be given so as to prevent sputum positive conversion and to control infections.

关 键 词：菌阴结核病 PPD试验 痰菌检查 

分 类 号：R521[医药卫生—内科学]