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肺結核 診斷動機에 關한 觀察

Study on the Motives That Led to the Diagnosis of Pulmonary Tuberculsis

최신의학 1962년 5권 9호 p.115 ~ 118
이혜수,
소속 상세정보
이혜수 (  ) - 제18육군병원

Abstract


Severe and progressive pulmonary tuberculosis sometimes fails to produce any symptom which can be recognized by either the patient or his physician. Even the cases of lethal pulmonary tuberculosis are compatible with apparent good health for a prolonged period.
This failure to produce symptoms makes tuberculosis a treacherous disease which still claims victims in health-conscious communities which have all but eliminated other preventable diseases.
It would be a great advance in tuberculosis control if every physicians were aware that this disease may exist in an active form in persons without complaints, and that if symtoms are awaited it may be in an incurable stage.
The purpose of this study is to analyze the motives that had led to the diagnosis of pulmonary tuberculosis and to find out the best way of an early detection of this disease.
Three hundred and thirty-six patients with pulmonary tuberculosis admitted to the 18th Army Hospital were observed. All patients were male varying in age from 21 to 37. Of the 336 patients, 198 were minimal, 129 were moderately advanced, and 39 were far advanced cases.
The motives that had led to the diagnosis of pulmonary tubercclosis were classified into two groups, the mass X-ray surveys and the motive symptoms.
The following results were obtained. One hundred and thirteen patients(33.6 /) were diagnosed through mass X-ray surveys, and the remaining 223 patients were diagnosed due to some motive symptoms.
Mass X-ray surveys were the most effective way in detecting an early stage of the disease. Frequent motive symptoms that had led to the diagnosis were pulmonary symptoms, pleural symptoms, and general symptoms in order.
The most contributory symptoms that had led to an early diagnosis were pleural pain, bloody sputum. Motive symptoms that called immediate attention upon patients to seek medical advice were hemoptysis, bloody sputum and pleural pain.

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