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麻风病的诊断除依靠特有的临床症状为依据外,麻风桿菌的检查也颇重要,在各麻风病学中均把它列为麻风病诊断的主要条件之一。但书本中往往只介绍一般的操作方法,致在实用中尚感不足。为此特简略地将个人对麻风病实验诊断的几点体验,加以介绍,供各地参考。病变的认识和割取标本的部位麻风桿菌在人体上分布很不均匀,其所致的病变也有轻重之别,割取标本的适当与否,直接影响检验结果。特别在早期,症状不明显,更难掌握。因此选择制取皮肤标本的部位,实是细菌检查的重要一环。本院有一病例,曾检查身体上最易发现细菌的部位数处(结合临床体征及患者自诉),皆未呈阳性结果。后取膝盖上缘的皮肤作细菌涂片检查,发现含有很多细菌。二次查菌时,仅离开原割部位1厘米左右,细菌数量显见减少,但是再次在原割部位边缘切取标本查之,与首次相较,细菌并未减
The diagnosis of leprosy is based on specific clinical symptoms. The examination of Leprosy bacilli is also very important. In leprosy, it is listed as one of the main conditions for the diagnosis of leprosy. However, in the book, only the general operation method is often introduced, resulting in insufficient sense in practical use. To this end, I briefly introduce my personal experience in the diagnosis of leprosy and introduce it for reference. The understanding of lesions and the site of specimen collection are very uneven in the human body, and the lesions caused by it are also of different severity. The appropriateness of specimen collection will directly affect the test results. Especially in the early days, the symptoms are not obvious and it is harder to master. Therefore, the selection of sites for the preparation of skin specimens is an important part of bacterial examination. There was a case in this hospital that had checked several of the most easily found bacterial sites on the body (combined with clinical signs and patient self-reports), but none of them had a positive result. After taking the skin on the upper edge of the knee as a bacterial smear, it was found to contain a lot of bacteria. When checking the bacteria twice, only about 1 cm away from the original cut site, the number of bacteria was significantly reduced, but the specimen was again cut at the edge of the original cut, compared with the first time, the bacteria did not decrease.