Yamagishi F, Suzuki K, Sasaki Y, Mori N, Yagi T, Shirai T, Satoh N, Tougoh N, Ihara S
Division of Thoracic Disease, National Chiba-Higashi Hospital, Japan.
Kekkaku. 1992 Jun;67(6):427-31.
The study of the group younger than 29 years of age with pulmonary tuberculosis was carried out. Thirty seven out of 287 tuberculosis patients who were discharged from National Chiba-Higashi Hospital in 1989 were enrolled. Only 5 patients (13.5%) were associated with complication. The smear and culture of sputum for acid-fast bacilli were positive in 30 cases (81.1%) and chest X-ray films revealed cavitary lesion in 31 cases (83.3%). Many of them were moderately advanced cases. Twenty four of them were found symptomatically, 10 by mass survey and 3 under treatment of other diseases. The total delay of symptomatic patients was 8.5 weeks until 80% of them were definitely diagnosed. The days of hospital stay were 122 until half patients were discharged. Five of them (13.5%) were non-Japanese and all stayed in Japan illegally. Their condition was rather severe.
对29岁以下的肺结核患者群体进行了研究。在1989年从千叶东医院出院的287例肺结核患者中,有37例被纳入研究。只有5例患者(13.5%)出现并发症。痰涂片和抗酸杆菌培养阳性30例(81.1%),胸部X线片显示有空洞病变31例(83.3%)。其中许多为中度进展期病例。24例通过症状发现,10例通过群体普查发现,3例在治疗其他疾病时发现。有症状患者确诊前的总延迟时间为8.5周,直到80%的患者被明确诊断。半数患者出院时的住院天数为122天。其中5例(13.5%)为非日本人,且均非法滞留在日本。他们的病情相当严重。