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目的 :为了解长春地区 1998年 7月～ 1999年 6月各级各类综合性医院肺结核病人归口管理情况。方法 :检查1998年 7月～ 1999年 6月各级综合性医院呼吸内科门诊及住院病例 ,X线胸片、痰涂片检查登记、疫情报告卡、转诊单 ,并与结核所实际接到报告卡、转诊单核对 ,无报告卡者为漏报。结果 :35家医疗卫生单位肺结核病人 12 93例 ,其中转诊率 77.34 % ,转诊到位率 5 2 .0 0 % ,疫情漏报率 18.95 % ,查痰率 2 6 .0 6 %。结论 :1在转诊及报卡方面大专院校医院明显优于其他各级综合性医院 ,项目县优于非项目县 (P<0 .0 0 5 )。 2查痰率县 (市 )区级医院优于其他各级综合性医院 ,厂矿医院及大专院校医院查痰率最低 ,项目县优于非项目县 (P<0 .0 0 5 )。
Objective: To understand the centralized management of tuberculosis patients in various general hospitals at all levels in Changchun from July 1998 to June 1999. Methods: From July 1998 to June 1999, the outpatients and inpatients of respiratory medicine in general hospitals at all levels were examined, X-ray and sputum smear check-ups, outbreak report cards and referral orders were received. Report card, referral card check, no report card for the omission. Results: A total of 12 93 pulmonary tuberculosis patients were found in 35 medical units, of which the referral rate was 77.34%. The referral rate was 52.02%, the false negative rate was 18.95% and the sputum rate was 26.06%. CONCLUSIONS: 1 The hospitals in tertiary hospitals are obviously superior to the other general hospitals in referring and reporting cards, and the project counties are superior to non-project counties (P <0.05). 2 Phlegm rate County (district) hospitals are superior to other comprehensive hospitals at all levels, factories and hospitals and tertiary hospitals sputum sputum lowest, the project counties better than non-project counties (P <0.05).