新版《肺结核诊断标准》解读.pdfVIP

中华灾害救援医学 2018 年 4 月 第 6 卷 第 4 期 Chinese Journal of Disaster Medicine, Vol.6, No.4, April, 2018 181 • 指 南 与 解 读 | GUIDELINE AND INTERPRETATION • 新版《肺结核诊断标准》解读 刘小利，刘 涛 【摘要】 《肺结核诊断标准》是各级医疗卫生机构及医务人员对肺结核做出正确诊断的指南。笔者通过对比 2017 年新修 订的《肺结核诊断标准》与 2008 年版后发现，新版《肺结核诊断标准》对肺结核的定义和流行病学调查范围予以重新定义，新 增 γ- 干扰素释放试验等检查手段，明确了分子生物学和病理学检查在肺结核病中的确诊地位，并将儿童肺结核正式写入诊断 标准。总之，新版《肺结核诊断标准》为肺结核的精准诊断提供了有效参考，更有利于防止肺结核的漏诊和误诊。 【关键词 】 肺结核；诊断标准；传染性疾病 【中国图书分类号 】 R521 The new 2017 edition of Diagnostic Criteria for Tuberculosis : A comparison with the 2008 edition LIU Xiaoli and LIU Tao. Department of Infection, Hunan Provincial Corps Hospital of Chinese Peoples Armed Police Force, Changsha 410006, China Corresponding author: LIU Xiaoli, E-mail: liuxiaoli515@126.com Abstract Diagnostic Criteria for Tuberculosis 【 】 The serves as a guide for diagnosing tuberculosis to medical and health institutions and medical staff at all levels in China. By comparing the newly revised 2017 edition of Diagnostic Criteria for Tuberculosis with its 2008 edition, the authors find that (1) the definition of tuberculosis and the scope of epidemiological investigation have been revised, (2) examination techniques such as interferon-γ release test have been appended, (3) the diagnostic values of molecular biological and pathological examination for pulmonary tuberculosis have been recognized, and (4) child tuberculosis has been officially included in the diagnostic criteria. The 2017 edition Diagnostic Criteria for Tuberculosis provides effective means for the accurate diagnosis of tuberculosis, and helps prevent misdiagnosis of tuberculosis. Key words 【 】 tuberculosis; diagnostic criteria; infectious diseases 结核病是严重威胁人类健康的重要传染性疾病， 诊断和鉴别诊断；适用于全国各级各类医疗卫生机构 世界卫生组织发布的全球结核年度报告中显示，2015