肺结核活动性判断规范及临床应用专家共识

doi:10.3969/j.issn.1000-6621.2020.04.001

摘要/Abstract

摘要：

我国肺结核疫情十分严峻,确诊肺结核的“金指标”是病原学检查,但对于病原学检查阴性的初诊肺结核患者,其活动性判断缺乏规范。另外,肺结核治疗后的活动性评价亦面临上述问题。本共识介绍了目前用于肺结核活动性判断的评价方法,提出了临床综合评价的规范,指出了目前活动性判断及临床应用存在的问题,并对其未来进行了展望。

关键词: 结核,肺, 活动性判断, 临床路径, 专家共识

Abstract:

The epidemic situation of pulmonary tuberculosis in China is challenging. Pathogenic test of Mycobacterium tuberculosis is the “golden indicator” for the diagnosis of pulmonary tuberculosis, but the activity judgment becomes difficult when the etiological examination is negative. In addition, evaluation of activity of pulmonary tuberculosis post-treatment also encounters the pathogenic problem. This expert consensus introduces the current evaluation methods for activity judgment of pulmonary tuberculosis, and sets standards of clinical comprehensive evaluation of activity. Meanwhile, it points out the existing problems of activity judgment and its clinical implementation and discusses its future development.

Key words: Tuberculosis,pulmonary, Activity judgment, Critical pathways, Expert consensus

国家感染性疾病临床医学研究中心深圳市第三人民医院《中国防痨杂志》编辑委员会. 肺结核活动性判断规范及临床应用专家共识[J]. 中国防痨杂志, 2020, 42(4): 301-307. doi: 10.3969/j.issn.1000-6621.2020.04.001

Clinical Research Center for Infectious Disease, the Third People’s Hospital of Shenzhen, Editorial Board of Chinese Journal of Antituberculosis National. Expert consensus on a standard of activity judgment of pulmonary tuberculosis and its clinical implementation[J]. Chinese Journal of Antituberculosis, 2020, 42(4): 301-307. doi: 10.3969/j.issn.1000-6621.2020.04.001

图/表 2

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