本文报告一个居住分散管区的新发现87例初治菌阳肺结核病人,采用INH、SM、PAS标准方案,实施全程管理化疗的近、远期效果。平均按时取药率94.4％,尿液乙酰化异烟肼测定1年内阳性率为91.3％,1年后为64.3％。1年痰菌阴转率为94.3％。停药后平均随访16个月,无1例复发。我们体会,对条件较差的地区采用全程化疗管理,具有较广泛的实际可行性。是一种较好的管理方法,如管理得当,可以取得满意的结果 This paper reports a newly discovered 87 cases of positive bacilli and pulmonary tuberculosis patients who live in decentralized district. The standard protocols of INH, SM and PAS were used to implement the near and long-term effects of full-course management of chemotherapy. The average rate of taking drugs on time 94.4%, urine acetylated isoniazid one year positive rate was 91.3%, 64.3% after 1 year. One year sputum negative conversion rate was 94.3%. After stopping the average follow-up of 16 months, no recurrence in 1 case. We realize that it is more practicable to adopt full-scale chemotherapy management in the less favorable areas. It is a better management method, which, if properly managed, can yield satisfactory results