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化学治疗极大地改变了结核病流行病学和临床的整个面貌,某些传统观点和防治措施正在变革,不住院化疗成为主要治疗形式,住院需要日趋减少。美国结核病床自1932年的86,000张减至1972年的10,700张。国内北京市1965年有结核病床3,704张,近年减为960张。本院是一所综合性教学医院,设有结核病床肺科20张和胸外科10张左右,收治上海市徐汇区结核病防治所和本院门急诊病人。为了解近年住院肺结核病例的动态变化和化疗对结核病临床的影响,以及检查工作中存在的问题,我们对二十年来住院病例情况进行了调查。
Chemotherapy has dramatically changed the overall picture of the epidemiology and clinical aspects of tuberculosis. Some traditional views and prevention and control measures are revolutionizing. Non-hospital chemotherapy is the main form of treatment and hospitalization needs are declining. The number of U.S. tuberculosis beds decreased from 86,000 in 1932 to 10,700 in 1972. There were 3,704 TB beds in Beijing in 1965 and 960 in recent years. The hospital is a comprehensive teaching hospital, with 20 cases of pulmonary tuberculosis and thoracic surgery about 10, admitted to Shanghai Xuhui District, tuberculosis prevention and treatment of emergency hospital patients. In order to understand the dynamic changes of hospitalized cases of tuberculosis in recent years and the clinical impact of chemotherapy on tuberculosis as well as the problems in the examination work, we investigated the cases of inpatients in the past 20 years.