肺结核诊断标准（Diagnostic criteria for tuberculosis）.doc

肺结核诊断标准（Diagnostic criteria for tuberculosis） Diagnostic criteria for pulmonary tuberculosis (WS2882008) 1, scope This standard sets the diagnostic basis, diagnosis principle and differential diagnosis of pulmonary tuberculosis. This standard is applicable to the diagnosis and report of pulmonary tuberculosis in the medical and health institutions at all levels and their staff members. 2 、 diagnosis basis 2.1 epidemiology Most of the TB patients are not easy to find the source of infection. Susceptible people are infected when they are in close contact with infectious TB patients. 2.2 clinical manifestation 2.2.1 symptoms 2 weeks of cough and sputum or hemoptysis, or suspected tuberculosis symptoms. Most of the slow onset, part of patients can not have obvious symptoms, as the disease progresses, the patient may present with cough, expectoration, hemoptysis sputum or hemoptysis, night sweats, fatigue, intermittent or continuous afternoon fever, back pain, loss of appetite, weight loss, female patients may be associated with irregular menstruation or amenorrhea, some patients may have recurrent upper respiratory tract children may also be symptoms of retardation. A small number of patients have a rapid onset, especially in acute hematogenous disseminated pulmonary tuberculosis, caseous pneumonia, and tuberculous pleurisy, with moderate and high fever, chest pain, and varying degrees of dyspnea. When bronchial tuberculosis, cough is severe, long duration; bronchial lymph fistula formation and rupture of bronchial obstruction of the airway or tracheal or bronchial tuberculosis cause bronchial stenosis, may be associated with asthma and dyspnea. When pulmonary tuberculosis is associated with extrapulmonary tuberculosis, it can also manifest the symptoms of extrapulmonary organs. When TB merge with other pathogenic bacteria, there are more moderate and high fever, and the phlegm characteristics will change accordingly, such as yellow cough, green sputum and so on. A smal