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不住院全面监督化学疗法已成为国内外控制和消灭结核病的主要手段。抚顺市于1979年5月至1980年6月,对农村64例初、复治结核病,无选择地开展监督化疗工作。本文对近期疗效和组织措施做初步报告。一、病人来源:农村流调发现的全部初、复治活动性肺结核病人,均经东北地区、辽宁省及抚顺市流调技术诊断小组确定诊断,拟定化疗方案。二、治疗前后观察:对确诊病例,监化前作痰涂片检查三次(排菌者作培养及SM、1NH、PAS、RFP耐药测定),拍照胸片,查肝功及血常规;治疗开始至疗程结束,采用浮游集菌查痰法观察疗效。排菌者每月送痰一次,不排菌者三个月送痰一次。全疗程
Non-hospital comprehensive monitoring of chemotherapy has become the main means of controlling and eradicating tuberculosis at home and abroad. Fushun City, from May 1979 to June 1980, 64 cases of rural primary and retreat tuberculosis, no choice to carry out supervision and chemotherapy. This article gives a preliminary report on the recent efficacy and organizational measures. First, the source of the patient: all the flow found in rural areas of primary and recuperating active pulmonary tuberculosis patients, both through the northeastern region, Liaoning Province and Fushun City rheological technical diagnostic team to determine the diagnosis, the proposed chemotherapy. Second, the treatment before and after observation: the diagnosis of the case, before the supervision of sputum smear examination three times (bacteria for culture and SM, 1NH, PAS, RFP resistance determination), take pictures of chest X-ray, check liver function and blood; treatment began To the end of treatment, the use of bacteria floating plankton sputum observation efficacy. Mycobacterium peritoneal sputum delivery once a month, non-germ send sputum three months. The whole course of treatment