海口市初治涂阳肺结核延误诊断分析

Analysis of delayed diagnosis for primary smear -positive pulmonary tuberculosis in HAI KOU City

本文对我所新登记105例涂阳肺结核病人的延误原因进行分析,平均延误天数为71.9天。病人延误超过15天为38例,平均延误天数为80.3天,医生延误超过15天,为67例,平均延误天数为80.3天,病人延误的原因,以自我保健意识缺乏为主,占36例,医生延误原因,以误诊为主,占56.7％,其次为不及时转诊,占28.4％。未及时查痰或摄片者,占14.9％。

The article mainly analysis the reasons for the delayed diagnosis of 105 cases which newly registered smear-positive pulmonary tuberculosis cases in our institute. The analysis shows that of all the cases, the delayed diagnosis causes loss exceeding 30 days in total amounts to 102 cases, with an average dalayed time of 79.1 days. The delaeyed diagnosis exceeding 15 days due to the fault of patients amounts to 38 cases, with an average delayed time of 80. 3 days,while the delayed diagnosis exceeding 15 days caused by the doctors a-mounts to 67 cases,with an average delayed time of 70. 2 days. There are different reasons for delayed diagnosis in owing to lack of self health protection consciousness, which amounts to 36 cases, the delay caused by doctors is mainly owing to erroneous diagnosis, which accounts for 56. 7 percent,and untimely hospital-transfer -treatment is another reason which accounts for 28.4 percent of all cases, and the other reason is untimely sputum test or chest photograop-taking, which accounts for 14. 9 percent.