麻风病是严重危害劳动人民身体健康的一种慢性传染病。它的确诊有赖临床、病理和细菌学检验,而细菌检验又是麻风病防治、分型疗效观察的重要依据之一,由此可见,提高对麻风病杆菌的检验质量是急待解决的问题。下面谈几点个人体会供同道参考。一、首先应具有对病人高度的同情心和工作责任感,才能消除惧怕传染,克服工作马虎的不良作风。二、选择好查菌部位。麻风杆菌在全身分布不均匀,一般以末梢神经丰富的面部、四肢以及皮损活跃等处居多。因此查菌部位选择合理与否关系极大。先要根据病人类型和临床体证全面观察,选定查菌部位,通常有耳垂、眶上、颧部、下颌、鼻粘膜等处;每例病人应在6～8个部位取材,减少查菌处数阳性率明显降低,甚至造成假阴性。检查结核型与未定类麻风病人,主要应选皮损处查菌。如系瘤型与界线类麻风病人,以脸部为主,再选2～3处较小形而颜色 Leprosy is a chronic infectious disease that seriously affects the health of working people. Its diagnosis depends on clinical, pathological and bacteriological tests, and bacteriological tests are one of the important evidences for the prevention and treatment of leprosy. It can be seen that improving the test quality of the Bacillus testus is an urgent issue to be solved. Here are some personal experience for fellow reference. First, we should first of all have a high degree of patient compassion and sense of responsibility in order to eliminate the fear of contagion and to overcome the sloppy work style sloppy. Second, choose a good bacteria site. Leprosy in the body is unevenly distributed, usually to the peripheral nerve-rich facial, limbs and skin lesions and other active most. Therefore check the bacterial parts of the rational choice or not a great relationship. First, according to the type of patient and clinical evidence of a comprehensive observation, the selected bacteria check site, usually with earlobe, supraorbital, zygomatic, mandibular, nasal mucosa, etc .; each patient should be in 6 to 8 parts of the drawing, reducing bacteria The number of positive rates decreased significantly, or even cause false negatives. Check the tuberculosis and undeclared leprosy patients, the main lesion should be selected bacteria. If the line type and boundary leprosy patients, mainly to the face, and then choose 2 to 3 smaller and the color