1, pulmonary tuberculosis screening for entrance examination.
2. Morning check-up and absence tracking due to illness.
3. Close contact screening.
4. Report and referral of tuberculosis patients.
Tuberculosis was once called "poor disease", and it is difficult to associate it with young and healthy students. In fact, the campus is also the key prevention and control area of tuberculosis.
In the paper published in March 2020 by Gao Qian, a professor at Shanghai Medical College of Fudan University, in 20 17 years, 830,000 cases of pulmonary tuberculosis were reported nationwide, with more than 40,000 cases of pulmonary tuberculosis among students, accounting for 4.87% of the new cases in China.
From the data point of view, the campus is not a high incidence area of tuberculosis, but the epidemic situation of tuberculosis in schools has a great impact, which is easy to constitute a public health incident and arouse social concern. Students are one of the key groups in tuberculosis prevention and control. Therefore, the prevention and control of tuberculosis in schools is the top priority in China.
Clinical manifestations of pulmonary tuberculosis:
1, symptoms
There is a history of close contact with tuberculosis, and the onset can be urgent or slow, mostly low fever (afternoon), night sweats, fatigue, anorexia, emaciation, and menstrual disorders in women. Respiratory symptoms include cough, expectoration, hemoptysis, chest pain, chest tightness or dyspnea in different degrees.
2. Symbols
Pulmonary signs vary according to the severity and scope of the disease. It is difficult to find positive signs in early and small-scale pulmonary tuberculosis. Patients with a wide range of lesions have vocal percussion, aggravated tremor, low alveolar breathing sound and wet rales. Advanced tuberculosis forms fibrosis, and local contraction causes pleural collapse and mediastinal displacement.
At the early stage of tuberculous pleurisy, there is pleural fricative sound. When a large amount of pleural effusion is formed, the chest wall is full, and the percussion is cloudy, twitching and breathing sounds are reduced or disappeared.