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我区综合医院7年收治肺结核1789例,其中有痰菌涂片结果897例。根据病例发现监测标准有587例属发现延误,占痰菌阳性总数的65.44％。为探索发现延误的影响因素,提高综合医院对因症就诊中涂阳病例发现率,特将本资料进行分析。1 资料来源与方法1.1 病例选择 自1981年1月～1987年12月本市两综合医院确诊为涂阳肺结核病例,病历记录完整,《肺结核登记报告卡》填写清楚,项目齐全者,均列为分析对象。1.2 发现延误判断标准 根据《湖南省结核病防治工作手册》病例发现的监测标准分病人延误和医生延误两大类,①病人延误:病人自始发常见的结核中毒
In our district general hospital for 7 years, 1789 cases of tuberculosis were admitted, of which 897 cases were sputum smear results. According to the case detection criteria found in 587 cases of delay, accounting for 65.44% of the total number of sputum positive. In order to explore the influencing factors of the discovery of delays and improve the detection rate of smear-positive cases in the general hospitals for the treatment of SARS, this data was specially analyzed. 1 data sources and methods 1.1 Case Selection From January 1981 to December 1987 the two general hospitals in the city were diagnosed as smear-positive pulmonary tuberculosis cases, medical records are complete, “Tuberculosis Registration Report Card” fill in a clear, the project is complete, are listed as analysis object. 1.2 found to determine the criteria for delay According to the “Hunan Tuberculosis Prevention and Treatment of Work” cases found in the monitoring of sub-patient delay and delay the two major categories of doctors, ① patient delay: the patient since the onset of common tuberculosis poisoning