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目的探讨应届高考生胸部体检活动性肺结核检查情况、临床表现及流行病学特点,提出应对措施。方法回顾性分析2009年某市3所高三学生胸部活动性肺结核的发病情况,结合文献进行分析。结果 3所高中共22个班,1 408人,胸部检出陈旧性肺结核患者14例,占0.99%(14/1 408),活动性肺结核患者11例,占0.78%(11/1 408)。活动性肺结核分布情况:3所高中有2所检出活动性肺结核,1所未检出。结论应届高三学生活动性肺结核发病有群体性发病趋势,一旦发病出现相应的临床症状极易误认为与学习压力大、过度劳累或普通感冒有关,从而延误诊断。这与学生的生活学习环境有较大关系。
Objective To investigate the examinations, clinical manifestations and epidemiological features of fresh chest examination among fresh college entrance exam candidates and put forward countermeasures. Methods A retrospective analysis of the incidence of chest active pulmonary tuberculosis in 3 high school students in 2009 in a city was made and the literature was analyzed. Results Of the three high schools, there were 22 classes with a total of 1 408 persons. Among them, 14 cases of old pulmonary tuberculosis were detected in the chest, accounting for 0.99% (14/1 408) and 11 cases of active pulmonary tuberculosis (0.78%, 11/1 408). Distribution of active tuberculosis: Two of the three high schools reported active tuberculosis, and one was not detected. Conclusions The prevalence of active pulmonary tuberculosis in the third year of senior high school students has the tendency of group disease. Once the corresponding clinical symptoms appear, it can be easily mistakenly thought to be related to learning pressure, over-exertion or common cold, which delays the diagnosis. This has a greater relationship with the living environment of students.