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我国结核病患病率已明显下降,迫切需要简便方法发现病人。全民胸透在多数城市已无必要。如我市1979.1～1980.7胸透36911人,发现新病人56人,发现率为1.24‰,每查出一病人需费用370元,而90％的新发现病人为平时就诊发现。线索调查适用于农村,关键在于提高赤脚医生、卫生员的防痨知识。结素试验作为发现病人尚需进一步探讨。关于早期发现病人的建议:1.将结核病列为法定传染病,向结核病防治机构(或防疫站)报告,分类建卡,制定防治计划。2.建立统一健康卡片,做到一卡多用,将各种体检中发现的病人填入统一卡内,避免重复检查。3.充分利用各级医院X线机,对有病状就诊者胸透,以发现病人。
The prevalence of tuberculosis in China has dropped markedly, and there is an urgent need to find patients in a convenient way. Universal Chestnut is not necessary in most cities. Such as our city from 1979.1 to 1980.7 thoracic 36,911 people, 56 new patients were found, the discovery rate of 1.24 ‰, each detected a patient costs 370 yuan, while 90% of the newly discovered patients found for peacetime visits. Clues to the survey for rural areas, the key is to improve barefoot doctors, hygienists knowledge of anti-tuberculosis. Knot test as a discovery of the patient needs further study. On the early detection of patients with the recommendations: 1. Tuberculosis as a legal infectious disease, TB prevention and treatment agencies (or epidemic prevention stations) report, classification card, the development of prevention and control programs. 2. The establishment of a unified health card, so that more than one card, all kinds of physical examination found in the patient fill in a unified card, to avoid duplication of checks. 3. Make full use of all levels of hospital X-ray machine, chest X-ray examination of patients with symptoms to find the patient.