松潘地区结核病发病特点及病因分析

目的:分析高原地区结核病发病特点及发病原因,以便更好地制定有效的防治措施。方法:收集松潘县医院2005年10月～2008年10月3年间确诊为结核病的住院和门诊病例共226例。结果:在226例结核病例中,藏民179例,占总数的79.2%;农牧民192例(85.3%)。重症结核84例(37.2%);肺结核112例(49.6%),肺结核合并空洞42例,占肺结核总数的37.5%(42/112)。结核病临床表现不典型者123例(54.4%)。结论:本地区结核病藏牧民明显高于其他民族人群,且在本组病例中,与其他地区相比,结核病临床表现不典型比例高,重症结核比例高,肺结核合并空洞比例高。这些特点,一方面和本地区的自然环境、医疗条件、民风民俗有关,另一方面可能与本地区居民治疗不及时、治疗不规范以及轻视预防接种密切相关。

Characteristics and cause analysis of tuberculosis in the population of high-altitude Songpan area

Objective:To analyze the characteristics and causes of tuberculosis among the population in high-altitude area for effective prevention and treatment of this disease. Methods:The clinical data were examined in 226 cases with tuberculosis diagnosed in out-patient or in-patient department between Oct. 2005 and Oct. 2008.Results:Of the 226 TB patients, 179 were Tibet ethnic group(79.2%) and 192 herdmen(85.2%). 84 were serious cases(37.2%) and 112 were pulmonary TB (49.6%). 42 were TB cases complicated with cav...