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本文分析了上海市1984年三个区和一个县结核病防治所登记的183名(占总登记病例的8.7％)久治不愈的排菌病例。认为,治疗的成败方案固然重要,而关键在于化疗的组织管理工作。同时认为,北京及上海几个防治所经验是加强初治病例的化疗监督和督导工作,痰菌阴转可达97～99％,各级专业机构应设法开展各种不同方式的完全督导用药,才能避免重复这些“久治不愈”的教训。
This article analyzes 183 cases of long-term mycosis discharges (accounting for 8.7% of the total registered cases) registered in the three districts of Shanghai in 1984 and one county’s tuberculosis prevention and control center. That the success or failure of the treatment program is important, but the key is the organization and management of chemotherapy. At the same time, it is believed that the experience of several prevention and treatment centers in Beijing and Shanghai is to strengthen the supervision and supervision of chemotherapy in newly diagnosed cases, and the sputum transfer rate can reach 97-99%. Professional agencies at all levels should try their best to supervise all kinds of drug use in different ways, To avoid repeating these “long treatment” lesson.