【摘要】 目的　研究复治肺结核病的成因,为完善肺结核病的防治对策、制订防治措施提供依据。方法　对728例住院复治肺结核病例临床资料进行统计与分析。结果　728例住院复治肺结核病例,占同期住院初、复治肺结核总数的43. 6%;年龄分布主要在30~49岁,占40. 9% (298 /728);职业以农民为主,占46. 6% (339 /728);涂阳363例(49. 9% ),其中耐多药226例(占总数的31. 0% );治疗后好转631例(86. 7% ),恶化12例(1. 6% ),死亡13例(1. 8% ),自动出院72例(9. 9% )。结论　控制复治肺结核病,应加强初治涂阳病人的发现工作、关注青壮年患者的防治、高度重视复治耐多药患者的治疗。更多还原

【Abstract】 Objective To explore the relapse cause of tuberculosis cases. Methods Clinical data of 728 TB relapse inpatients were analyzed. Results The TB relapse inpatients accounted for 43.6% of total TB inpatients at the same time (728/1668). 298 TB relapse inpatients were in 30~40 age group, accounted for 40.9%. 339 cases were farmers, accounted for 46.6%. 363 cases were sputum smear positive, accounted for 49.9%. 226 cases were MDR-TB, accounted for 31.0%. 631 cases became better after treatment, accounted for 86.7%. 12 cases became worse, accounted for 1.6%. 13 cases were dead, accounted for 1.3%. 72 cases left the hospital by themselves, accounted for 9.9%. Conclusions Discovery of initial smear positive TB cases should be enhanced in order to control TB relapse cases. Treatment of TB cases aged 15~50 should be paid attention to. Treatment of TB cases with multi-drug resistance should be attached great importance.更多还原