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[罗马尼亚结核性胸膜炎的流行病学特征]

[The epidemiological aspects of tuberculous pleurisy in Romania].

作者信息

Didilescu C, Marica M, Jalbă M

机构信息

Institutul de pneumoftiziologie Marius Nasta, Bucureşti.

出版信息

Pneumoftiziologia. 1992 Apr-Sep;41(2-3):83-7.

PMID:1342816
Abstract

The re-organization of the Tb network in Romania, which took place after 1948, made possible a gradual accumulation of a number of data on the epidemiological surveillance of the territory, including the tuberculous pleurisies. The incidence of tuberculous pleurisies showed a decrease from 30.7/100,000 to 4.2/100,000 between 1958 and 1985, followed by a "stagnation" at 4.3/100,000 for 1986-1989. In 1990, the incidence of Tb pleurisy reached 6.8/100,000. The weight of pleural localization among the respiratory ones was maintained 15%-13% for 1960-1980, with a subsequent diminution up to 7.9% in 1989. By age-groups, the incidence of Tb pleurisy was at its highest level (19.1/100,000) at the age of 20-24 years in 1990 (as well as in 1972, 1980 and 1985). The present time imperative is the improving of the etiological diagnosis of pleurisies by a larger accessibility to the histological (pleural biopsy puncture) and bacteriological investigations.

摘要

1948年后罗马尼亚结核病防治网络的重组,使得包括结核性胸膜炎在内的该地区流行病学监测数据得以逐步积累。1958年至1985年间,结核性胸膜炎的发病率从30.7/10万降至4.2/10万,随后在1986 - 1989年期间“停滞”在4.3/10万。1990年,结核性胸膜炎的发病率达到6.8/10万。1960 - 1980年期间,胸膜炎在呼吸道疾病中所占比重维持在15% - 13%,随后在1989年降至7.9%。按年龄组划分,1990年(以及1972年、1980年和1985年)结核性胸膜炎的发病率在20 - 24岁年龄段达到最高水平(19.1/10万)。当前的当务之急是通过更广泛地开展组织学(胸膜活检穿刺)和细菌学检查来改进胸膜炎的病因诊断。

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