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近两年来,我县采用45岁以上人口普查和45岁以下人口可疑者胸透相结合的方法,在21个公社39万多人口中发现了4,436例活动性肺结核(1.34％)。根据国务院(1978)210号文件“查出必治,治必彻底”的精神,我们对以上病例开展了农村肺结核不住院治疗和管理,具体办法是: 一、制定了“农村结核病登记、管理试行办法”,对治疗、管理作出考核、评比的具体规定。二、公社医院确定防疫医生兼管结核,大队由一名赤脚医生兼管。三、培训技术力量,普及防痨知识。四、治疗经费,采取个人、集体、国家三者相结合,而以个人为主的办法。其中约1/4社队把肺结核病列入慢性病由合作医疗
In the past two years, in our county, a total of 4,436 cases of active tuberculosis (1.34%) were found in a population of more than 390,000 in 21 communes by adopting the method of combining the 45-year-old census with the suspicious chest-penetrating population under the age of 45. According to the document of State Council (1978) No. 210, “Detecting the Must-Governing and Governing the Governing of the Must-Governing”, we conducted the non-hospitalized treatment and management of rural tuberculosis in the above cases. The specific measures are as follows: First, formulated the “Registration and Management of Rural Tuberculosis Measures ”, the treatment, management assessment, evaluation of the specific provisions. Second, the commune hospital to determine the epidemic prevention doctor concurrently control tuberculosis, brigade by a barefoot doctor concurrently. Third, training technical force, popularize prevention knowledge. Fourth, the treatment of funds, to take individual, collective, national combination of the three, and individual-based approach. Approximately 1/4 of the communes included tuberculosis in chronic diseases by cooperative medical care