Sato H, Shigeto E, Yokozaki Y, Shigeto N, Kamada T
National Hiroshima Hospital, Japan.
Kekkaku. 1996 Oct;71(10):555-9.
In this study, we investigated 31 foreign patients who had been diagnosed as having pulmonary tuberculosis at the National Hiroshima Hospital or Hiroshima Anti-Tuberculosis Association between 1982 to 1995. Their age ranged from 17 to 63 years, and all of them had been in Japan for less than five years. Twelve of the patients came from South America, 18 from Asia, and one from Egypt. Seven Peruvians had been infected in a tuberculosis outbreak. The reasons of their immigration were job-seeking (14 out of 31), education (8 out of 31), and marriage to Japanese men (6 out of 31). None of them were illegal immigrants. In four women who had married Japanese men, various symptoms such as cough, sputum, and slight fever came on during pregnancy, however, none of them had been diagnosed as having tuberculosis, and consequently they had received no medication during pregnancy. In 6 out of the 8 patients who were college students, their sputa were negative for tubercle bacilli, and they could be treated by chemotherapy as outpatients. In provincial cities, every effort should be made to detect tuberculosis among members of the foreign community who are living under different environments and conditions.
在本研究中，我们调查了1982年至1995年间在广岛国立医院或广岛防痨协会被诊断为患有肺结核的31名外国患者。他们的年龄在17岁至63岁之间，所有人在日本的时间均不到五年。其中12名患者来自南美洲，18名来自亚洲，1名来自埃及。7名秘鲁人在一次结核病暴发中受到感染。他们移民的原因是求职（31人中有14人）、求学（31人中有8人）以及与日本男性结婚（31人中有6人）。他们中没有非法移民。在4名与日本男性结婚的女性中，孕期出现了咳嗽、咳痰和低热等各种症状，然而，她们中没有人被诊断为患有结核病，因此在孕期均未接受治疗。在8名大学生患者中，有6人的痰液结核杆菌检测呈阴性，他们可以作为门诊患者接受化疗。在各省级城市，应尽一切努力在生活在不同环境和条件下的外国人群体中检测结核病。
