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本文旨在通过对肺结核诊断延误因素的分析和1982～1986年间的动态观察,发现延误诊断的症结。1112例因症就诊肺结核病人中,661例诊断延误占59.4%,其中病人延误280例占36.2%,医生延误463例占63.8%,平均延误65.5天;365例涂阳病人中,221例诊断延误占60.5%,病人延误112例占45.5%,医生延误133例占54.8%,平均延误73.8天。涂阳病人:1982～1986年病人延误逐年略有下降但无显著性(P>0.05);医生延误有逐年增加趋势,及时确诊率逐年下降。老年组的自身延误高于其他各年龄组差异有显著性。Ⅰ型肺结核医生延误率最高Ⅴ型最低。医生诊断延误的最重要因素是对查痰重视不够,对结核病疫情观念较为淡薄。最后结合文献对改善延误状况的措施进行了简要讨论。
This article aims to delay the diagnosis of tuberculosis by analyzing the factors and dynamic observation between 1982 and 1986, found the crux of the diagnosis. Of the 1112 tuberculosis patients with TB symptoms, 661 cases accounted for 59.4% of the total, of which 280 cases accounted for 36.2%, 463 cases were delayed by doctors, and the average delay was 65.5 days. Among the 365 smear positive cases, 221 cases were diagnosed as delayed Accounting for 60.5%, patients delayed 112 cases accounting for 45.5%, doctors delayed 133 cases accounting for 54.8%, the average delay of 73.8 days. Smear positive patients: From 1982 to 1986, the patient’s delay slightly decreased year by year but no significant (P> 0.05); the doctor delayed the increasing trend year by year, the timely diagnosis rate decreased year by year. The elderly group’s own delay higher than the other age groups were significant differences. The highest delay rate of type â ... ¢ tuberculosis doctors â ... ¤ type V lowest. The most important factor in the delay of diagnosis by doctors is not paying enough attention to sputum aspiration, and the concept of tuberculosis outbreak is relatively weak. In the end, the paper briefly discussed the measures to improve the delay situation.