Neumann G
Z Erkr Atmungsorgane. 1986;167(1-2):23-8.
From January 1, 1980, to April 30, 1985 in Stuttgart of 537 adult cases of registered bacteriologically confirmed endothoracic tuberculosis 31.1% were detected by the Public Health Office, of the 435 cases without bacteriological confirmation 40.9%. The rate of detection by general practitioners was 2.4 and 2.6 respectively in these groups from 1980 to 1982 and increased to 10.3 and 10.5% from 1983 to 1985. With bacteriological confirmation 54.6% were detected because of symptoms, 10.2% by general examination, 7.8% by mass miniature X-ray, and 27.4% by other active diagnostic measures. Without bacteriologic confirmation the figures are 41.4, 4.1, 17.9, and 36.6%. Only very few differences as given by nationality, sex and age are statistically significant. Two of three cases with bacteriologic confirmation were positive by direct smear. If the detection was by symptoms the percentage is 74.4 which should be compared with 58.2% by general examination, 50.0% by mass miniature X-ray, and 59.2% by other active diagnostic measures. Active diagnostic must be continued in risk groups.
1980年1月1日至1985年4月30日期间，在斯图加特，537例经细菌学确诊的胸内结核病成年病例中，31.1%由公共卫生办公室检出；在435例未经细菌学确诊的病例中，这一比例为40.9%。1980年至1982年，全科医生在这两组病例中的检出率分别为2.4%和2.6%，1983年至1985年增至10.3%和10.5%。经细菌学确诊的病例中，54.6%因症状被检出，10.2%通过常规检查，7.8%通过集体微型X线检查，27.4%通过其他主动诊断措施。未经细菌学确诊的病例中，相应数字分别为41.4%、4.1%、17.9%和36.6%。按国籍、性别和年龄划分，仅有极少数差异具有统计学意义。经细菌学确诊的病例中，三分之二直接涂片呈阳性。若因症状检出，这一比例为74.4%，与之相比，常规检查为58.2%，集体微型X线检查为50.0%，其他主动诊断措施为59.2%。对高危人群必须继续进行主动诊断。
