Abstract: Objective In order to investigate the reasons for management delay and to obtain better identification to untypical tuberculosis,a retrospective study was carried out in a general hospital to assess the onset,diagnosis and treatment of active tuberculosis in hospitalized patients.Methods From Jan 2002 to Dec 2006,the data of 132 patients with active pulmonary tuberculosis who were hospitalized in Beijing Tiantan hospital were analyzed,include clinical symptoms,auxiliary examinations,diagnosis,and managements,etc.Results 29 patients(22%) were admitted in hospital as other diseases at out-patient clinic,mostly including pneumonia,bellows shadow and lung Abscess.103 patients(78%) were admitted as other diseases but discovered combination with active tuberculosis,mostly including chronic obstructive pulmonary diseases and pleurisy.The elders,migrate workers and peasants from other area accounted for the big proportion of the total population.The common clinical symptoms included fever(43.9%),cough(37.1%),low appetite(21.2%),wheeze(19.7%),headache(11.4%),breath holding(10.6%),chest pain(10.6%),hemoptysis(9.1%) and debility(8.3%).There were 11 patients with merely pulmonary tuberculosis,and 121 combination with other diseases,mostly including cerebrovascular disease,malnutrition,chronic obstructive pulmonary diseases and diabetes.51 patients had more than two kinds of diseases.There were 21 patients with extrapulmonary tuberculosis,mostly including tuberculous meningitis,intracranial tuberculosis and intestinal tuberculosis.89 patients were diagnosed identified pulmonary tuberculosis by CT,while 14 patients conceivable,Final diagnosis ratio was 86.4% by CT.Sputum smear examination were not be performed before admission.82 patients(62.1%) had sputum smear after admission,among which 31(37.8%) were positive.Conclusions Clinical physicians at out-patient clinic in general hospital must keep an alert dealing with pulmonary tuberculosis patients by sputum smear and chest CT for early identification.

Key words: Pulmonary tuberculosis, general hospital, analysis