Kozlova A V, Moiseenko L M, Kozlova O F, Karnaukhina N V, Chelidze A V, Permiakova Z A, Beloborodova N G
State Medical Academy, Tiumen'.
Probl Tuberk. 1997(1):48-50.
The authors' findings suggest that the clinical pattern of tuberculosis morbidity in adults and children has recently become worse. Severe caseous pneumonia with its acute onset and malignant course by the type of galloping consumption with massive bacterial isolation and deaths in 42.8% of cases was analyzed. The complicated course mainly of the primary tuberculosis complex (40.8%) and tuberculosis of the intrathoracic lymph nodes was seen in 25% of ill children. Tuberculous meningitis was diagnosed in 20% of cases in the morbidity pattern of extrapulmonary tuberculosis. The reasons for late detection of disease are the poor organization of prophylactic fluorographic examinations of the adult population, tuberculin diagnosis, vaccination, revaccination of BCG and chemoprophylaxis in children at risk. The authors note unawareness of tuberculosis among the adult population, which was found through questionnaires.
作者的研究结果表明，成人和儿童结核病发病的临床模式最近变得更糟。分析了严重干酪性肺炎，其急性起病，呈奔马痨型的恶性病程，伴有大量细菌分离，42.8%的病例死亡。患病儿童中主要为原发性结核复合征（40.8%）病程复杂，25%的患儿有胸内淋巴结结核。肺外结核病发病模式中20%的病例被诊断为结核性脑膜炎。疾病发现延迟的原因包括成人预防性荧光透视检查、结核菌素诊断、疫苗接种、卡介苗复种和对高危儿童进行化学预防的组织工作不力。作者指出，通过问卷调查发现成人对结核病缺乏认识。
