诊断失误作为结核病死亡率的一个因素。
Failure of diagnosis as a factor in tuberculosis mortality.
作者信息
Enarson D A, Grzybowski S, Dorken E
出版信息
Can Med Assoc J. 1978 Jun 24;118(12):1520-2.
Abstract
In British Columbia between January 1970 and December 1974 active tuberculosis was diagnosed only after death in 69 cases; this was more frequent for miliary tuberculosis (31% of reported cases) than for advanced pulmonary tuberculosis (3% of cases). Although 28% of the patients were more than 75 years old, some were much younger, and 38% of the latter were alcoholics. More than 50% of the patients had been hospitalized before death, for a mean of 14.5 days; they were most frequently thought to have pneumonia or cancer at the time of death. Clearly, increased awareness of the continuing presence of tuberculosis in our society is needed.
摘要
1970年1月至1974年12月期间，在不列颠哥伦比亚省，有69例活动性肺结核患者仅在死后才被确诊；粟粒性肺结核（占报告病例的31%）比晚期肺结核（占病例的3%）出现这种情况更为频繁。虽然28%的患者年龄超过75岁，但有些患者年龄要小得多，其中38%是酗酒者。超过50%的患者在死亡前曾住院，平均住院14.5天；他们在死亡时最常被认为患有肺炎或癌症。显然，需要提高对我们社会中结核病持续存在情况的认识。
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