Enarson D A, Grzybowski S, Dorken E
Can Med Assoc J. 1978 Jun 24;118(12):1520-2.
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.
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。
