论文部分内容阅读
为便于管理,国内把肺结核分为三组:Ⅰ、Ⅱ组为活动性,Ⅲ组为非活动性。但有些初诊病人只一张胸片,其病变的活动性常不易肯定。并且各医生之间对Ⅱ、Ⅲ组病人之诊断差异较大。因此可能影响正确诊断及流行病学的统计。1979年我所团检后对诊断为Ⅱ组或Ⅲ组不易肯定的病例,采取不定组的办法进行管理,这些病例诊断为“肺结核活动性未定。”处理办法是:这些病人不收案,但要服异菸肼治疗。六个月后照片复查,如病变吸收或进展者诊断为活动性肺结核,收案为Ⅱ组。如病变无改变,则诊断为非活动性肺结核,收案为Ⅲ组。
For ease of management, tuberculosis is divided into three groups: Ⅰ, Ⅱ group is active, Ⅲ group is inactive. However, some newly diagnosed patients have only one chest radiograph, and the activity of the lesion is often not easily confirmed. And the diagnosis of patients between Ⅱ and Ⅲ groups is quite different among doctors. It may therefore affect the correct diagnosis and epidemiological statistics. In 1979, the group I was diagnosed as group Ⅱ or group Ⅲ after the unidentifiable group was administered by an indeterminate group, and these cases were diagnosed as “undetermined activity of tuberculosis.” The treatment was that these patients did not accept the case, but To treat isoniazid. Six months after the photo review, such as pathological changes of absorption or diagnosis of active pulmonary tuberculosis, the case was Ⅱ. If no change in the lesion, the diagnosis of non-active pulmonary tuberculosis, the case for the third group.