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目的 报告长春市1998年4～6月各级各类综合性医院肺结核病人归口管理情况。方法 调查医疗卫生单位4～6月呼吸内科门诊登记、住院病例、X线胸片检查登记、疫情报告、转诊单并与结防所实际接诊登记、疫情卡核对,无报告者为漏报。结果 86家医院呼吸内科病人343070例,肺结核828例,检出率024%,转诊率603%,接诊率74%,疫情漏报率509%。结论 归口管理,大专院校医院明显优于其它各级各类综合性医院,驻军医院最差,项目县优于非项目县(P<0.05)。
Objective To report the centralized management of pulmonary tuberculosis among various types of general hospitals at all levels in Changchun from April to June 1998. Methods The medical and health units were investigated from April to June in respiratory medicine outpatient registration, inpatient cases, X-ray examination registration, epidemic situation report and referral order, . Results There were 343070 cases of respiratory medicine in 86 hospitals and 828 cases of tuberculosis. The detection rate was 024%. The referral rate was 603%. The receiving rate was 74% and the false negative rate was 509%. Conclusion At the centralized management level, hospitals in colleges and universities are obviously superior to other types of general hospitals at all levels and the worst in the military hospitals. The project counties are superior to non-project counties (P <0.05).