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目前,从团体检查及门诊发现的肺结核患者中,早期浸润型肺结核约占2/3,今后随着团体检查工作的发展,早期浸润型患者的数字将更形增加。但是在治疗上,这样患者究竟是应当绝对休息还是服用抗痨药物坚持工作或是减轻工作或是短期休息?还存在着问题,显然过去多主张绝对休息;现在则趋向于服药短期休息或不休息。如果采用后者的治疗方法能够收到良好效果,对我国结核病防治工作,将有很大的现实意义。因此,这个问题确有讨论的必要。现在,我们选择了甘肃省结核病防治所自1953年至1957年在门诊及团检中发现的患者,于照常工作的情况下,服用異烟肼、对氨柳酸或二药并用的121例早期浸润型患者,进行分析,参加讨论,尚希同道们予以指正。选例标准 1.两肺上部浸润型肺结核,按苏联分类法病灶自肺尖至前第二肋下缘水平线以上。 2.早期锁骨上下浸润。
At present, among tuberculosis patients found in community and outpatient clinics, infiltrative pulmonary tuberculosis accounts for about two-thirds of the total. In the future, the number of patients with early-infiltrating type will increase in the future as the group examination progresses. However, in terms of treatment, such patients should absolutely take a rest or take anti-tuberculosis drugs to work or to reduce their work or short-term rest. There are still problems. Obviously, in the past, many advocates absolute rest. Now they tend to take medication short-term or no-rest . If the latter method of treatment can receive good results, our country’s tuberculosis prevention and control work will have great practical significance. Therefore, there is indeed a need for discussion on this issue. Now, we chose the Gansu Tuberculosis Prevention and Treatment Center from 1953 to 1957 in the outpatient and group seizures found in patients with normal circumstances, taking isoniazid, the combination of salicylic acid or two of the 121 cases of early Invasive patients, analysis, to participate in the discussion, Shangxi fellow comrades to be corrected. Selection criteria 1. The upper two infiltrative pulmonary tuberculosis, according to the Soviet Union classification lesion from the apex to the second lower edge of the ribs before the level above. 2. Early clavicle infiltration up and down.