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本文对县乡两级综合医院做了为期1年的涂阳病例转诊调查。县、乡两级医院共发现转诊涂阳病例68例,占65.4%,县医院转诊52例,占50%。其中,80.8%是内科发现转诊的。县医院漏诊6例,占10.3%。认为,做好综合医院涂阳病例转诊,首先应提高医务人员的结核病防治知识水平和结核病的诊断水平。其次,医院各科间的协作,在县医院内设立肺科门诊也至关重要。
In this paper, county and township level general hospital for a period of 1 year smear cases referral survey. 68 cases of smear-positive cases were found in county and township hospitals, accounting for 65.4%. There were 52 cases referral to county hospital, accounting for 50%. Of these, 80.8% were referred for medical examination. County hospital missed 6 cases, accounting for 10.3%. That, do a good referral of smear-positive cases in general hospitals, first of all should raise the knowledge level of tuberculosis prevention and treatment of medical staff and the diagnosis of tuberculosis. Second, the collaboration between the various departments of the hospital, the establishment of pulmonary clinics within the county hospital is also crucial.