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在结核病流行病学调查中,痰菌阳性者无疑可确诊为肺结核。对于大量痰菌阴性者,由于肺结核的临床和X线表现与其他呼吸系统疾病有许多相似之处,稍有疏忽极易误诊,即使已确诊为肺结核,在活动性的判定上有时也存在一定的困准。为了提高菌阴肺结核的诊断水平,找们对湖南省1979年全国流调中检出的449例痰菌阴性病例(经过中南区流调指导小组走诊),进行了6个月到4年的随访观察,现将所得结果分析如下:
Epidemiological survey of tuberculosis, sputum positive no doubt can be diagnosed as tuberculosis. For a large number of sputum negative, because of the clinical and X-ray findings of tuberculosis and other respiratory diseases have many similarities, a slight negligence easily misdiagnosed, even if diagnosed with pulmonary tuberculosis, there is sometimes a certain determination of the activity Sleepy. In order to improve the diagnostic level of bacterial yin and pulmonary tuberculosis, we found 449 cases of sputum negative cases (after the guideline of Central South Area flow control group) of 449 sputum samples detected in Hunan Province in 1979, carried out 6 months to 4 years Follow-up observation, the results obtained are as follows: