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目的了解北京中医药大学东方医院(综合医院)对肺结核患者的发现状况,及其临床诊断的正确率。方法调查2010年1月至2011年3月在东方医院门诊和住院的患者中,临床诊断为“肺结核”的患者96例,全部给予转诊和网络上报。对96例患者以进行电话追踪询问的方式,询问患者去结核病防治机构或专科医院就诊情况及诊断结果。结果 96例患者转诊到北京胸科医院诊治27例,转诊到北京5家区结核病防治所诊治65例,转回原籍诊治4例。经追踪,最终明确诊断62例,诊断符合率72.09%(62/86),误诊18例,未明确诊断6例,追踪失访10例。结论综合医院仍是结核病患者首诊的重要场所,需进一步提高综合医院医生的结核病诊断水平,提高诊断符合率。
Objective To understand the detection of tuberculosis patients at Dongfang Hospital of Beijing University of Chinese Medicine (General Hospital) and the correct rate of clinical diagnosis. Methods A total of 96 patients diagnosed as “pulmonary tuberculosis” from January 2010 to March 2011 in outpatient and inpatient hospital of Oriental Hospitals were recruited and all were referred for referral and internet reporting. 96 patients were asked by way of telephone follow-up to ask patients to go to tuberculosis prevention agencies or specialist hospitals for treatment and diagnostic results. Results A total of 96 patients were referred to Beijing Chest Hospital for diagnosis and treatment. Totally 27 cases were referred to TB treatment in 65 districts in Beijing and returned to their original diagnosis and treatment in 4 cases. Tracing, the final diagnosis of 62 cases, the diagnostic coincidence rate of 72.09% (62/86), misdiagnosis in 18 cases, not diagnosed in 6 cases, follow-up of 10 cases were followed up. Conclusion General hospitals are still the first place for tuberculosis patients to be diagnosed. It is necessary to further improve the diagnosis of tuberculosis in general hospitals and improve the diagnostic accuracy.