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我院是一所综合性医院,1985年~1995年在内科门诊就诊患者中发现肺结核病人325例,现报告如下。对象与方法1．对象:因咳嗽、咳痰、胸闷气急、咯血、发热等呼吸道症状来内科门诊就诊的患者,共43861例。2．诊断方法:(1)询问病史和体格检查。(2)胸部X线透视,痰液厚涂片找结核杆菌。(3)胸部X线透视,痰液涂片找结核杆菌,同时给予抗生素治疗观察2~4周。(4)15岁以下儿童作结素试验。3．诊断标准:(1)连续两天晨痰厚涂片查到结核杆菌者。(2)X线胸透和胸片有活动性结核病变的特征,排除其他疾病者。(3)临床上已排除其他原因引起胸膜炎。(4)儿童结素试验(5个单位)强阳性反应者。(5)病史、症状和常规检查符合肺结核病特征者。
Our hospital is a general hospital, from 1985 to 1995 in the outpatient clinic patients found in 325 cases of pulmonary tuberculosis, are as follows. Objects and methods 1. Object: Because of cough, expectoration, chest tightness, shortness of breath, hemoptysis, fever and other respiratory symptoms to medical outpatients, a total of 43861 cases. 2. Diagnostic methods: (1) ask medical history and physical examination. (2) chest X-ray, sputum smear to find Mycobacterium tuberculosis. (3) chest X-ray, smear sputum to find Mycobacterium tuberculosis, antibiotic treatment given to observe the 2 to 4 weeks. (4) children under the age of 15 as a knot test. 3. Diagnostic criteria: (1) thick sputum sputum for two consecutive days found Mycobacterium tuberculosis. (2) X-ray chest and chest with active features of tuberculosis, excluding other diseases. (3) clinically excluded other causes of pleurisy. (4) children knot test (5 units) strong positive responders. (5) history, symptoms and routine examination consistent with the characteristics of pulmonary tuberculosis.