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目前,全球有20亿人,即相当于全球总人口的1/3的人已感染结核杆菌。结核病成为威胁人类健康的重要疾病,成为全球的负担。全球每年有600万人死于艾滋病毒/艾滋病、结核和疟疾,其中近200万例死亡是结核造成的;结核虽能够治愈,但每天造成5000人死亡;98%的结核死亡病例发生在发展中国家,主要涉及处于最富于生产活力年龄的青年、成年。如不加以制止,结核在20年内还将进一步造成3500万人死亡。世卫组织及其伙伴最近调查的109个国家中几乎全都存在耐多种药物型结核病(MDR-TB);在每年发生的425000例新的耐多种药物型结核病例,以前苏联和中国的发病率最高,新病例中有多达14%的病例使用标准药物治疗无效。3月24日为世界防治结核病日,本刊特组织“复治肺结核相关问题”专题笔谈,较为全面地为读者介绍复治肺结核的定义、诊断、治疗等知识,引起读者对复治肺结核的重视,规范治疗,以期减少复治病例和耐药病例的发生。
Currently, 2 billion people around the world, that is, one third of the global population, have been infected with Mycobacterium tuberculosis. Tuberculosis is an important disease that threatens human health and becomes a global burden. Every year, 6 million people die from HIV / AIDS, tuberculosis and malaria each year, of which nearly 2 million deaths are caused by tuberculosis. Although tuberculosis can be cured, 5,000 people die every day. 98% of tuberculosis deaths occur in the course of development Countries, mainly involved in the most productive age of youth, adult. If not stopped, TB will further cause 35 million deaths in 20 years. Almost all of the 109 countries recently surveyed by WHO and its partners have multi-drug resistant tuberculosis (MDR-TB); in each of the 425,000 new MDR-TB cases that occur each year, with the previous onset of the Soviet Union and China Up to 14% of new cases are ineffective with standard medical treatments. March 24 is the World Day for the Prevention and Treatment of Tuberculosis. Our magazine organized a special talk on the topic of “Resolving Tuberculosis-related Syndromes” and introduced the readers to the definition, diagnosis and treatment of Respiratory Tuberculosis more comprehensively, arousing readers’ The importance of standardized treatment, with a view to reducing the incidence of retreatment cases and drug-resistant cases.