What is the old pulmonary tuberculosis mentioned in the diagnostic report of radiology department? It is the fibrosis and calcification on the patient's lungs. This refers to the fibrosis and calcification of the patient's lungs.
Pathological characteristics of old pulmonary tuberculosis The old pulmonary tuberculosis mentioned in the radiologic diagnosis report refers to fibrosis and calcification in the lungs of patients. Such patients have no symptoms of tuberculosis poisoning such as hot flashes and night sweats, and no mycobacterium tuberculosis can be found in sputum. In the subsequent chest X-ray review, the patient's lung lesions did not show any changes.
The treatment of old pulmonary tuberculosis can only indicate that the patient has had pulmonary tuberculosis, and it will be completely cured after treatment or cured without treatment, without any treatment.
People with old tuberculosis can work and live normally like normal people.
Early detection of tuberculosis patients in tuberculosis physical examination is an important measure to prevent the spread of tuberculosis in schools, and routine physical examination is an important means to find tuberculosis patients at an early stage. At the same time, early detection of tuberculosis patients can be achieved through morning check-up, illness absence tracking and close contact screening. Early detection, early isolation and early treatment can effectively prevent the spread of tuberculosis on campus.
First, routine physical examination
According to the relevant regulations of the Ministry of Health and the Ministry of Education, the school should take tuberculosis examination as the content of freshmen's physical examination, report the tuberculosis epidemic and suspected tuberculosis patients found in the physical examination in time, and refer the patients to local tuberculosis prevention and control institutions (or designated hospitals) for further diagnosis and treatment.
1. Contents and methods of tuberculosis examination The physical examination of freshmen in kindergartens, primary schools and junior high schools should include the investigation of possible symptoms of tuberculosis and the investigation of close contact history of tuberculosis. Tuberculin test was carried out for those who were in close contact with tuberculosis. What is the average diameter of induration after ppd treatment? 15mm or blisters, or symptoms, chest x-ray. Those with abnormal chest X-ray and suspicious symptoms were examined by sputum smear for three times, and those with positive sputum smear were subjected to sputum culture and anti-tuberculosis drug sensitivity test.
2. Physical examinations for senior high school students should include the investigation of suspicious symptoms of tuberculosis and chest X-ray examination. For those who have suspicious symptoms of tuberculosis or abnormal chest X-ray examination, sputum smear examination should be carried out three times, and sputum culture and anti-tuberculosis drug sensitivity test can be carried out at the same time in areas with conditions.
3. Treatment after physical examination
(1) For tuberculosis patients and suspected tuberculosis patients found in the physical examination, the school should inform students and parents of the abnormal results found in the physical examination in time. The medical and health institutions that carry out physical examination report the epidemic situation of infectious diseases and refer patients to local tuberculosis prevention and control institutions (or designated hospitals) for further examination and diagnosis. What should be the basis for the diagnosis of pulmonary tuberculosis in physical examination? Treatment and management of pulmonary tuberculosis patients? The relevant provisions for processing.
(2) For the simple ppd reaction found in the physical examination? Health education for patients with 15mm should be strengthened, and students should be encouraged to take preventive medication under the principle of voluntary informed consent. We should strengthen the supervision and treatment management of patients taking preventive drugs, ensure the regular treatment of preventive drugs and complete the prescribed course of treatment, reduce the risk of disease and realize the advanced control of tuberculosis in schools.
(3) If no abnormality is found in the physical examination, the results of the physical examination should be included in the health files of students and faculty, and the follow-up medical observation on the health status of students should be strengthened.
2. Morning check-up and follow-up of absence due to illness are the key to early detection of patients in school tuberculosis prevention and control work, and are also the most effective measures to avoid the occurrence and spread of school tuberculosis cluster epidemic. Through morning check-up and follow-up of absence due to illness, the school can find tuberculosis patients in time; Through the isolation treatment and management of tuberculosis patients, especially infectious tuberculosis patients, the spread of tuberculosis in schools can be blocked in time.
1, morning inspection
The school should designate a person to be responsible for the morning check-up and the epidemic report of infectious diseases. It is necessary to establish and improve the monitoring network of suspicious symptoms of pulmonary tuberculosis in schools and classes, and the class teacher or class cadre shall be the class teacher.
(1) The school infirmary should organize the training of the squad leader and be responsible for the morning check-up of the students who come to school every day; To find out whether every student in the school has suspicious symptoms of tuberculosis such as cough, expectoration, fever and night sweats. And call on students to seek medical advice in time if they find the above symptoms.
(2) if suspicious symptoms of pulmonary tuberculosis (cough, expectoration for more than 2 weeks, hemoptysis or bloodshot sputum) are found, the monitor should register in time? Morning check/absence due to illness tracking found suspicious symptoms of pulmonary tuberculosis/screening registration form for suspected pulmonary tuberculosis patients? Medium. Students with suspicious symptoms of tuberculosis should also inform their parents at the same time.
(3) those who find suspicious symptoms of tuberculosis should report to the school hospital in time. Suspected tuberculosis patients in the school reported to the referral registration form, and the patients were referred to the local tuberculosis prevention and treatment institutions for further diagnosis and treatment by using the triple referral form.
(4) For the students who have been referred, the school hospital should closely follow the arrival of the referral and the final diagnosis result of the tuberculosis prevention and control institution.
2. Tracking of absence due to illness