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本文对福山县肺结核病人第一次透视与平均间隔四个半月后第二次拍片复查结果进行比较,以分析农村肺结核诊断质量,并寻求提高质量的途径。共有Ⅰ、Ⅱ、Ⅲ组病人488例,男性300例,女性188例,60岁以上病人占三分之一。两次结果:X线病型相符467例,符合率95.70％,不相符21例,以Ⅲ型改为Ⅳ型居多,16例;痰菌第一次查334例,阳性39例,检出占11.60％,第二次查397例,阳性67例,检出占16.88％。两次均验痰者294例,相符者257例,符合率87.41％,不相符者37例,以原为阴性改阳性者为多,24例;管理分组相符者325例,
This paper compares the results of the second film review in Fushan County for the first time with pulmonary tuberculosis patients and the average interval of four and a half months to analyze the quality of diagnosis of pulmonary tuberculosis in rural areas and seek ways to improve quality. A total of 488 cases of Ⅰ, Ⅱ, Ⅲ patients, 300 males and 188 females, accounting for more than one-third of patients over the age of 60. Twice the results: 467 cases were consistent with X-ray pattern, the coincidence rate was 95.70%, 21 cases were not coincidental, and the majority was type III to IV. 16 cases were sputum positive for the first time, and 39 cases were positive for sputum 11.60%, the second check 397 cases, 67 cases were positive, accounting for 16.88%. There were 294 cases with sputum as sputum in two times, with 257 cases matched, with a coincidence rate of 87.41% and 37 cases of incompatible sputum. Among them, 24 cases were positive for negative sputum, 325 cases were consistent with management grouping,