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非结核分枝杆菌所致肺病的诊断一直沿用美国胸科协会颁布的标准—X线胸片上有浸润病灶,反复痰培养阳性。但作者发现这一标准对由堪萨斯及细胞内分枝杆菌感染的病人并不完全合适,拟提出一修改标准。作者研究了271例由堪萨斯分枝杆菌(MK)及226例由细胞内分枝杆菌(MI)起的肺病患者。病人入院后皆连续痰培养3次,后按期复查;若在反复培养阳性后连续3次以上培养阴性就定为阴转。约2/3病人接受包括利福平的化疗。16例(MK 2例,MI14
Mycobacterium tuberculosis caused by lung disease diagnosis has been followed by the American Thoracic Society standards - infiltrating lesions on the X-ray, repeated sputum culture positive. However, the authors found this standard not entirely suitable for patients infected with Kansas and Mycobacterium intracellularis, and proposed a revised standard. The authors studied 271 patients with Mycobacterium Kansasii (MK) and 226 patients with Mycobacterium tuberculosis (MI) -related lung disease. Patients admitted to hospital after continuous sputum culture 3 times, after a periodic review; if repeatedly cultured positive for more than 3 times after the culture negative for the negative. About two-thirds of patients receive chemotherapy including rifampicin. 16 cases (MK 2 cases, MI14