Yamagishi F, Suzuki K, Sasaki Y, Yagi T, Miyazawa H, Satoh N, Tougou N, Shirai T, Ihara S, Hayashi A
Division of Thoracic Disease, National Chiba-Higashi Hospital, Japan.
Kekkaku. 1993 Sep;68(9):545-50.
This study focuses on the investigation of 35 foreign patients diagnosed as having pulmonary tuberculosis and treated at National Chiba-Higashi Hospital and the Chiba Anti-Tuberculosis Association between 1987 and 1991. All of the patients had lived in Japan less than five years. A large number of the patients were in their 20s. The chest X-rays of 24 cases (70%) revealed cavitary and sputum smear cultures for Mycobacterium tuberculosis were positive in 27 cases (77%). Many patients were in moderately advanced stages of the disease, becoming ill soon after their arrival in Japan, and being diagnosed symptomatically. Among the 35 cases, eight cases failed to finish treatment. Of those failing to finish, six were female and two were male. The results of sputum smear cultures of the patients failing to complete treatment revealed four cases that tested positive. Among those cases failing to complete treatment, four patients discharged themselves, three patients stopped during out-patient treatment, and one patient had to return to her home country because of a legal problem. A total of 14 patients were illegal immigrants: three of them failed to complete treatment because of their illegal status, and two of them due to unspecified reasons.
本研究聚焦于调查1987年至1991年间在千叶东医院和国立千叶防痨协会被诊断为肺结核并接受治疗的35名外国患者。所有患者在日本居住时间均不足五年。其中大量患者为20多岁。24例（70%）患者的胸部X光片显示有空洞，27例（77%）患者的痰涂片结核分枝杆菌培养呈阳性。许多患者处于疾病的中度进展期，抵达日本后不久即患病，且通过症状诊断出来。在这35例中，有8例未完成治疗。未完成治疗的患者中，6例为女性，2例为男性。未完成治疗患者的痰涂片培养结果显示4例呈阳性。在未完成治疗的患者中，4例自行出院，3例在门诊治疗期间中断治疗，1例因法律问题不得不回国。共有14名患者为非法移民：其中3例因非法身份未完成治疗，2例原因不明。
