为了解我省复难治肺结核的流行现状 ,为科学决策提供依据。按照统一标准对患者进行临床、X线及实验室检测。共调查研究 3 2 9例病人 ,结果显示 :①以青壮年为主 ,文化程度低 ,病程长 ,病灶广泛空洞多 ,农村高于城市 ;②均经过WHO推荐的初、复治方案治疗 ,耐药占 98% ,多重耐药占 5 4 % ;③L型结核菌检出率占 3 6 3 %。可见应将我省结防工作的重点应放在农村 ,加强对青壮年患者的治疗 ,阻止多重耐药结核病的流行 ,推广L型结核菌的检测方法。 In order to understand the prevalence of tuberculosis complicated by tuberculosis in our province, provide scientific basis for decision-making. In accordance with the uniform standards of patients with clinical, X-ray and laboratory tests. A total of 392 patients were investigated. The results showed that: (1) young and middle-aged people with low education level, long course of disease, extensive lesions and virescence in rural areas were higher than those in urban areas; (2) Drugs accounted for 98%, multi-drug resistance accounted for 54%; ③LT-PCR accounted for 36.3%. Can be seen in our province should focus on prevention work should be placed in rural areas, to strengthen the treatment of young patients, to prevent the prevalence of multidrug-resistant tuberculosis, to promote the detection of L-type tuberculosis.