综合医院活动性肺结核的早期筛查策略  

Strategy of early screening for active pulmonary tuberculosis in general hospital

作　　者：何燕超 揭志军 He Yanchao;Jie Zhijun(Department of Respiratory,the Fifth People’s Hospital of Shanghai,Fudan University,Shanghai 200240,China;Community Health Research Center of Fudan University,Shanghai 200240,China)

机构地区：[1]复旦大学附属上海市第五人民医院呼吸内科,上海200240 [2]复旦大学社区健康研究中心,上海200240

出　　处：《结核与肺部疾病杂志》2022年第4期334-337,共4页Journal of Tuberculosis and Lung Disease

基　　金：上海市第五人民医院重点专科建设项目(2020WYZDZK01)。

摘　　要：中国是结核病高负担国家,结核病防控形势不容乐观。综合医院是发现肺结核的“哨点”,对综合医院患者进行活动性肺结核的早期筛查具有重要意义。作者介绍了不同结核病检查方法筛查的优劣性,着重分析了门诊患者和住院患者的筛查策略,以期能为综合医院结核病防控提供参考。Tuberculosis has long been considered a big theat in China.Preventing and controlling tuberculosis is a continuous effort,yet the situation is still not optimistic.We emphasize the urgent need for active pulmonary tuberculosis(APTB)as a screening strategy to find tuberculosis in general hospitals.In this review,we first provide an introduction to APTB.Then,we quantitively compare APTB with other tuberculosis examinations,which demonstrates the advantages of APTB.Finally,we provide detailed analysis on the differences between screening strategies in inpatient and outpatient departments.Our work is a crucial reference for applying APTB as a tuberculosis screening strategy in general hospitals.

关 键 词：结核 肺 早期诊断 医院 综合 卫生措施 

分 类 号：R521[医药卫生—内科学] R81[医药卫生—临床医学]