结核病定点门诊青少年肺结核患者初治35例分析

Analysis of 35 cases tuberculosis patients treated in fixed-point outpatient service

目的分析青少年肺结核病定点门诊就诊情况和登记情况。方法回顾性分析安徽省胸科医院内科2016年1~8月结防门诊登记本、肺结核患者登记本和青少年病案记录情况,并进行系统分析。结果 8个月期间,14~19岁青少年因肺结核就诊35人,占门诊总就诊量的5.2%,均有卡介苗接种史,痰涂片阳性率(25.71%)低,确诊时间较短(85.71%),32例(91.43%)属浸润型肺结核,34例(97.14%)单次痊愈;同时,31例(88.57%)患病年龄为17~19岁的青少年结核。结论青少年结核患者具有严重感染,以17~19岁多见两个显著特点,结核病定点门诊应给予高度重视。

Objective To analyze the condition of tuberculosis treatment and registration among adolescents in designated clinic for tuberculosis. Methods RetrospeCTive analysis of the records of outpatient registration,tuberculosis patient registration and juvenile records of the Department of Medicine of the Chest Hospital of Anhui Province from January to August 2016. Results During 8 months,35 cases young people aged 14 to 19 were admitted to the hospital for tuberculosis,accounting for 5. 2% in the total outpatient records,all of them had a history of Bacillus Calmette Guerin vaccination,sputum smear positive rate was low（ 25. 71%）,the diagnosis time was shorter（ 85. 71%）,32 cases（ 91. 43%） were infiltrating type tuberculosis,34 cases（ 97. 14%） were single well. At the same time,31 cases（ 88. 57%） of adolescents aged 17 to 19 years had tuberculosis. Conclusions Adolescent tuberculosis patients have serious infeCTions,and there are two significant features in aged 17 to 19,which should be given high attention in designated clinic of tuberculosis disease.