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[结核病病例发现项目,特别提及胸部X光检查]

[Case finding program for tuberculosis with special reference to chest x-ray examination].

作者信息

Szczuka I, Miller M, Masztalerz J

机构信息

Zakładu Epidemiologii i Organizacji Walki z Gruźlica, Instytutu Gruźlicy i Chorób Płuc w Warszawie.

出版信息

Pneumonol Alergol Pol. 1993;61(5-6):241-7.

PMID:8348087
Abstract

An analysis of tuberculosis case-finding programme in Poland in 1966-1991 was performed. The main methods applied in practice were--case-finding according to "symptoms" and according to results of "chest x-ray examination". About 90% of new cases were detected by above mentioned methods. Case-finding according to "symptoms" was increasing parallel to age of patients and reached 74% in group over 60 years. On the other hand, the efficacy of chest x-ray examination was decreasing parallel to age of patients one was calculated as 19%. The case-finding method according to "symptoms" is suggested by authors as a basic and useful, especially in family doctor's practice. Chest x-ray examinations should be limited to high risk population.

摘要

对1966年至1991年波兰结核病病例发现项目进行了分析。实际应用的主要方法是——根据“症状”和“胸部X光检查结果”进行病例发现。约90%的新病例通过上述方法检测出来。根据“症状”进行病例发现的比例随着患者年龄的增长而上升,在60岁以上人群中达到74%。另一方面,胸部X光检查的效果随着患者年龄的增长而下降,其检出率为19%。作者建议将根据“症状”进行病例发现的方法作为基本且有用的方法,尤其适用于家庭医生的实践。胸部X光检查应限于高危人群。

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