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病例发现与化疗是控制结核病流行的主要措施。疫情严重地区,病例发现较化疗管理容易。浙江省第二次流调表明,病人复治率升高(1979年流调为38.2％,二次流调为44.8％)。主要原因是化疗管理问题。在农村病例发现和化疗管理应以哪一级机构为重点,各地有不同的经验。我们的经验是重点放在区卫生院,使防痨工作真正落实到基层。现将我区卫生院化疗管理情况简述于下:
Case-finding and chemotherapy are the main measures to control the epidemic of tuberculosis. Severe outbreaks, cases found easier than chemotherapy management. The second epidemiological survey in Zhejiang Province showed that the patient’s rate of retreatment was higher (adjusted to 38.2% in 1979 and adjusted to 44.8% in the second adjustment). The main reason is chemotherapy management. At what level of agency should be focused on case detection and chemotherapy management in rural areas, there are different experiences across the country. Our experience is to focus on district hospitals so that prevention work can be truly implemented at the grassroots level. Now my district hospital chemotherapy management conditions described below: