[Emergency diagnosis of tuberculosis in patients admitted to the Institute of Emergency Care].
Tuberculosis was first recognized by a phthisiothera-pist in 52 patients and in 3 cases at autopsy at the admission and resuscitation units. Out of 55 patients, 39 (71 +/- 6.1%) were found to have acute, general processes (subacute dissemination and acute military tuberculosis, caseous pneumonia, multiple preliminary extrapulmonary diseases). Six patients died at the Institute, after referral to tuberculosis dispensaries, there were 11 and 9 deaths at months 1 and 6, respectively. Mortality was 47.3 +/- 6.7%. According to the data of emergency x-ray study, the diagnosis to be correct in 87.3 +/- 4.2%. As high as 25% of new cases of tuberculosis were detected at somatic hospitals in 1992 - 1994. Therefore, all patients admitted for pulmonary complaints of general toxic syndrome should immediately undergo X-ray, sputum test for Mycobacterium tuberculosis, and a phthisiotherapist's examination.
Skrynnik
N A
NA
NII of Emergency Care, Saint-Petersburg.
Shteíntsaíg
A I
AI
D000047:Academies and Institutes; D000328:Adult; D003937:Diagnosis, Differential; D004632:Emergency Medical Services / Q000379:methods*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic / Q000379:methods*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014376:Tuberculosis / Q000175:diagnosis*