Abstract: Objective To investigate the diagnosis level of pulmonary tuberculosis of in-patient in general hospital. Methods Senventy-four in-patients with pulmonary tuberculosis reported in people’s Hospital of Peking University Jan 1,2002 to May 31,2006 were retrospectively analyzed.Results Of 74 cases,71.6% were reported by respiratory department,41.9% had typical tuberculosis clinical symptom,54.1% showed that ESRs were significantly high,54.1% PPD test were positive.64.9% patients took sputum smear examination and 54.2% of them were positive.The average interval from admission to diagnosis was 13.15 days,less than 14 days in 48 cases(64.9%),more than 14 days in 26 cases(35.1%).26 cases(35.1%) were diagnosed by sputum smear examination.27 cases(36.7%) were diagnosed by biopsy methods(8 cases by biopsy via bronchoscope,17cases by open-thorax lung biopsy, 1 case by lung-puncture biopsy and 1 case by lymphonode biopsy).The positive rate was 100% for every biopsy method except bronchoscopic biopsy(88.9%).20 cases(27.0%) were clinically diagnosed. Conclusion Respiratory department of general hospital is on the first-line of pulmonary tuberculosis prevention.The detection level of pulmonary tuberculosis in people’s Hospital of Peking University is satisfactory,and most patients were diagnosed in two weeks.The main diagnostic method is sputum smear examination,but a few parts of cases were diagnosed through biopsy methods.

Key words: Tuberculosis,diagnosis, Hospital,general