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目的 了解从业人员体检中肺结核检出者的X线特点及临床特征,为在体检中及时发现肺结核病患者提供临床依据。方法 以胸部X线透视和摄片法对2 0 0 2～2 0 0 4年参加体检的从业人员进行肺结核检出情况的初步调查。结果 在参检的10 0 90 0人中检出结核病患者10 5例,检出率为1 0 4‰;无任何临床症状者占4 0 . 0 % ;X线检查显示病变呈淡薄云絮状占6 9. 5 % ,范围在2个肺野以内占5 9.0 % ,有空洞占37 .1%。结论 通过健康检查检出的肺结核病例多无临床症状或表现轻微,定期体检能及时发现肺结核病。
Objective To understand the X-ray features and clinical characteristics of pulmonary tuberculosis (TB) in medical examination of practitioners and provide a clinical basis for timely detection of TB patients in physical examination. Methods The chest X-ray and radiography were used to investigate the detection of pulmonary tuberculosis in practitioners who participated in physical examination from 2002 to 2004. Results One hundred and ten cases of tuberculosis were detected in 10 0 90 0 people, the detection rate was 104%. No clinical symptoms were 40.0%. The X-ray examination showed that the lesions were cloudy and flocculent Accounting for 69.5%, accounting for 59.0% of the total population in the two lung fields and 37.1% of the vulnerable areas. Conclusions Most cases of tuberculosis detected by health examination have no clinical symptoms or mild symptoms. Regular physical examination can detect tuberculosis in time.