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笔者对婚前检查中胸部X光透视的结果进行分析。 自1988年开始,我院开展婚检工作,至1994年累计胸部X光透视检查51 676例,阳性检出率1.12‰,且检出率有逐年下降的趋势。从检出的58例人数中,待确诊为肺结核的25例。其它肺部实质性炎症的33例,实际通过婚检透视发现肺结核的比例为0.48‰。参加体检的51676例中,又有506例是第二次申请结婚者,阳性检出率17.79‰(9/506),肺结核检出率7.91‰(4/506),阳性检出率及肺结核检出率增高的主要原因与第二次结婚者的年龄偏大、无规律的生活、抽烟以及精神因素等有关。除去第二次婚检肺结核阳性4例,第一次参加婚检的51170例中,肺结核的阳性检出率仅占0.41‰。
The author analyzes the results of chest radiography in premarital examination. Since 1988, our hospital to carry out premarital examination work, to a total of 51 676 chest X-ray examination in 1994, the positive detection rate of 1.12 ‰, and the detection rate decreased year by year. Among the 58 cases detected, 25 cases were diagnosed as pulmonary tuberculosis. 33 cases of other pulmonary substantive inflammation, the actual examination of the incidence of pulmonary tuberculosis by premarital examination was 0.48 ‰. Of the 51,676 medical examinations, 506 were the second to apply for marriage, with a positive rate of 17.79 ‰ (9/506) and a detection rate of 7.91 ‰ (4/506). The positive rate and tuberculosis test The main reason for the higher rate of increase is the second marriage, the older age, irregular life, smoking and mental factors related. Remove the second premarital pulmonary tuberculosis in 4 cases, the first time to participate in premarital 51170 cases, the positive detection rate of tuberculosis only 0.41 ‰.