综合性医院肺结核患者发现、转诊管理措施分析

Analysis of referral management in patients with pulmonary tuberculosis in general hospital

目的:探讨、分析综合性医院肺结核患者发现、转诊管理措施。方法:回顾性分析肺结核患者发现、转诊管理措施实施情况及肺结核发现情况。结果:3年共发现疑似肺结核342例,影像学检查诊断205例(59.94%),痰涂片检查诊断69例(20.18%),病理检查诊断42例(12.28%),外援摄片诊断或请定点医院肺科会诊26例(7.60%),转诊率100.00%。结论:加强转诊管理以及与定点医院和结核病防治机构之间的沟通联系,能有效提高疑似病例的发现数量,提高转诊率,减少患者的流失。

Objective:To investigate the management measures of referral and referral in patients with pulmonary tuberculosis in general hospital.Methods:We retrospectively analyzed the implementation of referral management practices and the finding of tuberculosis in patients with pulmonary tuberculosis.Results:A total of3years of suspected tuberculosis cases in342cases,imaging diagnosis of205cases(59.94%),sputum smear examination in diagnosis of69cases(20.18%),pathological diagnosis of42cases(12.28%),foreign aid radiography diagnosis or designated hospital consultation please lung in26cases(7.60%),and the referral rate was100.00%.Conclusion:Strengthening referral management and communication with designated hospitals and TB control institutions can increase the number of suspected cases effectively,improve referral rates and reduce the loss of patients.