Aziz S, Alam S E
PMRC Research Centre, Jinnah Postgraduate Medical Centre, Karachi.
J Pak Med Assoc. 1990 Jan;40(1):14-6.
In a retrospective study, case records of 1061 patients treated with antituberculosis drugs were examined to assess the criteria for diagnosis in each case. Seventy six percent had sputum examined for A.F.B. and 45% had mantoux test done. Five hundred and eighty one (55%) were diagnosed on radiology alone, while 262 (25%) had positive sputum for A.F.B. Only 50 (5%) of cases had positive Mantoux in addition to positive sputum and radiological changes. Practical significance of this practice is discussed.
在一项回顾性研究中,对1061例接受抗结核药物治疗的患者的病历进行了检查,以评估每个病例的诊断标准。76%的患者进行了痰涂片抗酸杆菌检查,45%的患者进行了结核菌素试验。581例(55%)仅通过影像学诊断,而262例(25%)痰涂片抗酸杆菌阳性。只有50例(5%)除痰涂片阳性和影像学改变外,结核菌素试验也呈阳性。讨论了这种做法的实际意义。