查詢結果分析
相關文獻
- 某醫學中心79∼83年肺結核住院病患之研究
- 醫學中心工作人員院內肺結核感染之監測及通報系統
- 肺麴菌瘤
- 診斷潛伏性肺結核感染的新方法
- Screening of Human Immunodeficiency Virus Infection in Pulmonary Tuberculosis Patients in Taiwan
- 肺結核之感染管制
- Pulmonary Tuberculosis Presenting as Diffuse Panbronchiolitis
- Cefmetazole對腹腔感染的臨床評估
- 肺結核與院內感染
- An Aspergilloma Switched to a Chronic Necrotizing Pulmonary Aspergillosis in a Patient with Pulmonary Tuberculosis and Pneumoconiosis History
頁籤選單縮合
題 名 | 某醫學中心79∼83年肺結核住院病患之研究=A Study of Hospitalized Pulmonary Tuberculosis Patients in a Medical Center 1990-1994 |
---|---|
作 者 | 莊芬蘭; 李姣姿; 魏雪卿; 葛謹; 魏慧卿; | 書刊名 | 公共衛生 |
卷 期 | 25:1 1998.04[民87.04] |
頁 次 | 頁13-21 |
分類號 | 419.73 |
關鍵詞 | 肺結核; 感染; Tuberculosis; Infection; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究收集某醫學中心民國79∼83年肺結核住院病患,共計有1,641人進入本研究。 目的在了解該中心肺結核病患佔住院病患之比率、分佈情形、曾施行之檢查、出院狀況、死 亡情形等相關資料,以期加強醫護人員對肺結核的重視與警覺。將電腦篩選出住院疾病分類 碼中 ICD: 011.20-011.96 診斷碼的肺結核病歷, 予以描述分析後獲致的重要結果如下: 1.65 歲以上病患,占 61.48%(N=1,009),為最多。 2. 肺結核住院病患遍佈全院各科別, 由門診、急診入院者約各占一半,且部分病患曾接受過若干侵入性檢查或治療。因開於性病 患佔一半左右,顯示某醫學中心醫療工作人員具有被感染肺結核之潛在性威脅。 3. 從病患 之預後來看, 1,641 人中有 300 人在院死亡, 死亡者中有 115 人係直接因肺結核致死, 185 人因合併有其他疾病而死亡。 由此可看出某醫學中心肺結核病患死亡高達 18.22%,其 中死於其他併發疾病之 11.22% 亦相當高,值得注意。尚有人 565(28.96%)" 未癒、轉院、 自動出院或僅做檢查,倘若這些病患仍其傳染性甚至轉為抗藥性肺結核病患,則危險性更難 以估計。 4. 有 3 名肺結核病患同時為 HIV 帶原者,經追蹤得知這 3 人皆已死亡。因此 ,本研究建議:1. 應對於開放性肺結核病患及相關照顧者有計畫地追蹤與管理;2. 適當地 改善工作環境之空調系統;3. 應加強該中心醫護人員對於肺結核之預防及照顧的訓練。 |
英文摘要 | The purpose of this research is to study the impact, age distribution, diagnosis history, conditions after discharge, and the mortality of the 1,641 cases of pulmonary tuberculosis admitted in a medical center from 1990 to 1994. Among these cases, we selected the cases with an ICD category from 011.20 to 011.96, and analyzed their medical records according to the following variables : age, sex, department, clinical outcome, the relationship between AIDS and tuberculosis,... etc.. Some important findings are as follows: 1. 61.48% of the cases(N=1,009) are over the age of 65. 2. The half of the cases is admitted through the outpatient department and the rest through emergency units. Since 50% of cases are the open cases, the health care providers have to do several invasive checkup procedures/ treatments, which means that the health care providers are at high risk to be infected with tuberculosis. 3. Three hundreds cases died in the hospital, of which 115 died of tuberculosis and the other 185 died with other complications. This result indicate that these tuberculosis patients have a high risk of dying with other complications, Approximately 29% (N=565) discharged without a complete drug therapy, so they may become the source of infection especially when they become drug resistant. 4. We identified three HIV positive cases among our TB cases, and they died during hospitalization. We recommend: 1. Set up an intensive surveillance program for both the open TB cases and health care providers;2. Improve working environment especially the ventilation system; 3. Provide on the job training for all health care providers in order to protect themselves form getting TB. |
本系統中英文摘要資訊取自各篇刊載內容。