中國(guó)結(jié)核病防治規(guī)劃實(shí)施工作指南

1、1中國(guó)結(jié)核病防治規(guī)劃實(shí)施工作指南中國(guó)結(jié)核病防治規(guī)劃實(shí)施工作指南（征求意見(jiàn)稿）衛(wèi)生部疾病預(yù)防控制局二ＯＯ六年十一月3（二）標(biāo)本采集.................................................................................................................................21五、直接涂片檢查五、直接涂片檢查.........

2、........................................................................................................................22（一）玻片的制備..........................................................................................

3、...................................23（二）染色.........................................................................................................................................23（三）鏡檢..................................

4、.......................................................................................................25（四）結(jié)果報(bào)告............................................................................................................

5、.....................26（五）玻片的保存.............................................................................................................................26六、分枝桿菌培養(yǎng)六、分枝桿菌培養(yǎng)..............................................

6、...................................................................................27（一）酸性羅氏培養(yǎng)基制備.............................................................................................................27（二）分離培養(yǎng).....

7、............................................................................................................................28七、藥物敏感性試驗(yàn)七、藥物敏感性試驗(yàn)............................................................................

8、.................................................28（一）培養(yǎng)基的制備.........................................................................................................................29（二）菌液制備..............................

9、...................................................................................................30（三）菌液稀釋和接種.............................................................................................................

10、........30（四）結(jié)果報(bào)告及解釋.....................................................................................................................31八、實(shí)驗(yàn)室登記報(bào)告八、實(shí)驗(yàn)室登記報(bào)告...............................................................

11、..............................................................31（一）痰涂片檢查.............................................................................................................................31（二）培養(yǎng)檢查..............

12、...................................................................................................................32（三）藥物敏感性試驗(yàn).............................................................................................

13、........................32九、質(zhì)量保證九、質(zhì)量保證.........................................................................................................................................33（一）痰涂片鏡檢...................................

14、..........................................................................................33（二）培養(yǎng)檢查.........................................................................................................................

15、........34（三）藥物敏感性測(cè)定.....................................................................................................................34十、評(píng)價(jià)指標(biāo)十、評(píng)價(jià)指標(biāo).....................................................................

16、....................................................................35第五章第五章肺結(jié)核病人發(fā)現(xiàn)肺結(jié)核病人發(fā)現(xiàn).......................................................................................................................37一、肺結(jié)核可疑癥狀

17、者、發(fā)現(xiàn)對(duì)象和發(fā)現(xiàn)方式一、肺結(jié)核可疑癥狀者、發(fā)現(xiàn)對(duì)象和發(fā)現(xiàn)方式.................................................................................37（一）肺結(jié)核可疑癥狀者...............................................................................................

18、..................37（二）發(fā)現(xiàn)對(duì)象.................................................................................................................................37（三）發(fā)現(xiàn)方式.......................................................

19、..........................................................................37二、接診和診斷程序二、接診和診斷程序.............................................................................................................................3

20、8（一）問(wèn)診.........................................................................................................................................38（二）填寫初診病人登記本...............................................................

21、..............................................39（三）胸部X線檢查........................................................................................................................40（四）痰涂片顯微鏡檢查..............................

22、...................................................................................40（五）結(jié)核菌素（PPD）試驗(yàn)..........................................................................................................41（六）建立病案......

23、...........................................................................................................................41（七）肺結(jié)核診斷要點(diǎn).....................................................................................