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据1990年全国流行病学调查,嘉兴市地区肺结核患病率335/10万,涂阳患病率103/10万.分析登记情况,本地区尚有不少病例未发现或已发现未报告及管理.为此,我们于1990～1993年对本地区综合性医院进行肺结核漏报调查,以提高肺结核病人的登记管理.1990年,对10所医院(市、县各5所)调查.内、儿科门诊60099人次,查出肺结核418例(0.7%);出院登记2656例中,肺结核75例(2.8%);放射科初诊胸片1489份,查出肺结核128例(8.6%).我们认为,查胸片效果较好,正确性较高.在调查时除去重复病人,共查出肺结核621例,已报告210例,漏报411例,漏报率66.2%.
According to the national epidemiological survey in 1990, the prevalence of tuberculosis in Jiaxing City was 335 / 100,000 and the prevalence of smear-positive was 103 / 100,000. Analysis of the registration status shows that there are still many cases in this area that have not been found or have not been reported To this end, we conducted a survey on the omission of tuberculosis in general hospitals in the area from 1990 to 1993 to improve the registration management of tuberculosis patients .In 1990, the survey was conducted on 10 hospitals (5 in each city and county) Outpatients 60099 people, found that 418 cases of tuberculosis (0.7%); discharge register 2656 cases, tuberculosis in 75 cases (2.8%); radiology first diagnosed chest radiograph 1489, 128 cases of tuberculosis (8.6%). Chest radiographs showed better effect and higher correctness.Removed patients during the investigation, 621 cases of pulmonary tuberculosis were detected, 210 cases were reported, 411 cases were missed, and the false negative rate was 66.2%.