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目的了解四川省彭山县结核病流行和防治现状,为下一步制定全县结核病防治规划提供参考依据。方法2013年对彭山县11 257人进行结核病筛查试验(结核菌素试验Purified Protein Derivative,PPD),筛查发现的强阳性者进一步进行拍摄X线胸片和痰菌涂片检查。结果 11 257名受检者中总共筛查出198(男108,女90)例强阳性可疑对象,进一步进行拍摄X线胸片和痰涂片检查,确诊5(男3,女2)例活动性肺结核患者,肺结核患病率44.42/10万,其中筛查前已知患者2例,筛查时新发现患者3例。结论对PPD试验阳性者进行胸透、查痰、拍摄X线胸片,可有效发现既往和新发活动性肺结核患者,适于大面积结核病普查时应用以提高效率。
Objective To understand the prevalence and prevention and cure of tuberculosis in Pengshan County of Sichuan Province and to provide a reference for further development of TB prevention and treatment planning in the county. Methods In 2013, a total of 11 257 people in Pengshan County were screened for tuberculosis (Purified Protein Derivative, PPD), and those with strong positive results were screened by X-ray and sputum smear. Results A total of 198 (108 males, 90 females) cases were screened out of 11 257 subjects and were further scored by X-ray and sputum smears. Five (3 males and 3 females) cases were confirmed Tuberculosis patients, the prevalence of tuberculosis 44.42 / 100 000, of which 2 were known before screening screening patients, screening of newly discovered patients in 3 cases. Conclusions Thoracic and sputum aspiration and radiographs of chest X-ray can be found in patients with positive PPD test, which can effectively detect past and new active pulmonary tuberculosis patients and be suitable for large-scale tuberculosis screening to improve efficiency.