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我们规定凡初治肺结核病例疗程结束随访2年。开始半年内每3月复查1次,以后每半年复查1次(摄X线胸片及痰浓缩、培养各1次),到期未来复查者由护士家访催促,凡病人治愈后发现症状可随时就诊,以期考核初治肺结核的防治效果。 10年来登记涂阳812例,涂阳占总病例的比例在23%~26%,平均23.9%。治愈后2年的总复发率为2.8%。复发年龄:30岁以下5例,占21.7%;55岁以下3例,占13.0%,55岁以上15例占65.2%。复发时间:疗程结束3月内1例占4.4%;3~6月7例占30.4%;7~12月11例占47.8%;13~18月3例占13.0%;19~24月1例占4.4%;第1年复发19例占82.6%。
We provide that all patients with untreated tuberculosis should be followed up for 2 years. The first half of the review every 3 months 1, after a review every six months (photo of X-ray and sputum concentration, culture 1), the expiry of the review by the nurses home visits urged, where the patient found symptoms can be cured at any time Treatment, with a view to assess the prevention and treatment of newly diagnosed tuberculosis. In the past 10 years, 812 cases of smear positive were registered. The proportion of smear positive cases accounted for 23% ~ 26% of the total cases, with an average of 23.9%. The total relapse rate after 2 years of cure was 2.8%. Recurrence age: 5 cases were below 30 years old, accounting for 21.7%; 3 cases were below 55 years old, accounting for 13.0%; 65 cases were over 55 years old. Time to relapse: 1 case accounted for 4.4% within 3 months after treatment; 7 cases accounted for 30.4% from March to June; 47.8% from July to December; 13.0% from 13 to 18 months; 1 case from 19 to 24 months Accounting for 4.4%; 19 cases of the first year accounted for 82.6%.