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开展结核病归口管理工作是近年来结核病控制工作的重大举措,但实施中存在不少问题,综合性医院截留病人现象普遍,已成为影响结核病控制工作的主要问题。根据卫生部要求,1997年8月重庆市卫生局组织了一次结核病法律法规检查。本文报告本市五所县级综合医院肺结核的诊断、治疗和疫情报告的调查结果。内容和方法 1.调查对象:五所县级综合医院及五县结防所(科)。2.调查内容:①抽查1月门诊胸片、处方、门诊日志和门诊、住院病人疫情报告及转诊记录;②1997年1—6月传染科肺结核病人住院病历;③1996年6月—1997年6月结防所(科)登记的复治病人情况。
Carrying out the work of centralized management of tuberculosis is a major measure to control tuberculosis in recent years. However, there are many problems in its implementation. The general hospital interception of patients is a common problem and has become a major problem that affects TB control. According to the request of the Ministry of Health, in August 1997, the Chongqing Municipal Health Bureau organized a check on laws and regulations on tuberculosis. This article reports on the findings of the diagnosis, treatment and outbreak reports of tuberculosis in five county-level general hospitals in the city. Contents and Methods 1. Survey respondents: Five county-level general hospitals and five counties (Section). 2. Contents of the investigation: (1) Spot checks of the outpatient chest radiograph, prescription, outpatient log, outpatient and inpatient outbreak reports and referral records in January; (2) Inpatient records of infectious pulmonary tuberculosis in January-June 1997; (3) June 1996-June 1997 Monthly end of the anti-(Section) registered retreatment patients.