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????????

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Title: 15 Author: jpy Last modified by: jpy Created Date: 12/15/2001 3:57:32 AM Document presentation format: – PowerPoint PPT presentation

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Tags: mdrtb

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Title: ????????


1
?15? ????
2
????
  • ???????????????????????
  • ???????????????????????

3
???????
??? ??????
  • ??,????1/3????????,??????800?,300????????
  • ???????????????22?????,??25?????,??????
  • ???????????????????
  • ????????????,?????

4
 ???--??????????
???
??
5
????
6
?????
??????, ??????? ????, ????? ????????,
?????????
7
?????????
  • (?)?????
  • ??????,????
  • ???????
  • ??????

??????????
8
????( Acid Fastness Stain )
??(??,??? ,5-10?? ) ??(3????)
??(??)
9
  • (?)???????
  • ??????,????, ??????
  • ?????,18h/?,2-4W???????
  • ????????,?????????

10
??????
(?)????
??????(-) ????() ?????(-)
?????? ??????
11
(?)???
  • ???(????????????)
  • ??(????????75??????)
  • ????????????????

12
??????
(?)???
  • ????
  • ???????13?230???,?????(?????),?????????
  • L???
  • ?????????????????????????L?????
  • ?????
  • MDRTB(???????????)

13
???????
  • 1?????????,????????
  • ??
  • ?????????,???????
  • ????????,??????????
  • ??D???????
  • ??????????????????
  • ??????D??,?????????
  • ???????,??????

14
?????
  • 2?????
  • ????????
  • ?????????????????,????????,??????????
  • ???????????????????????????????????????????????

15
??????
?????
2?????
  • ????????
  • ????
  • ?????????????????? ???????
    ????? ????

16
  • (1)?????????
  • ????
  • ??????
  • ????????(???????)??????????????
  • ?????????
  • ???????????

17
?????????
??? ???
? ? ???
???
????? ????
???? (???)
????
?????
? (?????)
???
????
????
?????
18
???3-6???????
?????? ????????
??
????? (?????)
TB??? ???
???? ????
????? ??????
?????
?????
?????
???? (?????)
????
????
?????
19
???????
90??????????????,????,????????TB????
????
?5?????????????
???
?????
??????????
??????????????????
20
(No Transcript)
21
?????
  • 2?????
  • (1)?????????
  • ????
  • ?????(????)
  • ??????,?????
  • ?????,????????
  • ????????,??????,???????

22
????????
????????????????????,????????,?????????
???????? ?????
????
???TB (????)
????
23
??
?????
24
?????
  • 2?????
  • (1)?????????
  • (2)????
  • ???????????,??????
  • ???????????????????????????????????
  • ????

25
(?)? ? ?
??????????
???????
  • ?????????(infection immunity),??????,????????????
    ????,??????????,????????
  • ????????????????????

26
(?)???????
????
10-14???????, ???????,?? ?????
????
??
????
????????? ,????
????
??
? ?
27
(?)??????
??
  • ?????????????????????????????????????,????????????
    ????

28
??
  • ?????(old tuberculin,OT)??????????????????????,??
    4-8??????????
  • ??????(purified protein derivative, PPD)
    OT??????????

29
??
48-72h
????
???? OT?PPD 5??
????
????
30
??
  • ??0.51.5cm
  • ???????,?????????
  • ???gt1.5cm
  • ??????????
  • ??lt 0.5cm
  • ??????
  • ????
  • ???
  • ???????????????
  • ??????????

31
??
  • ?????????? ????????
  • ????????????
  • ??????????????????
  • ????????????????????

32
????????
????????? ??????
  • ??????????,?
  • ????????

33
??
  • ??????????????????,??,?????????,????????
  • ?????????????15???????,????,????????
  • ???????????????????
  • ?????????????
  • ????PCR???

34
????
???? ???? ???? ???
????? ?? OT????
3-4?
? ?
??????? ??????
6-8????
???? ????
????
35
??????
  • ??????????????
  • ????????
  • ????????????(DOTS)

36
??? ??????(Mycobacterium.leprae)
37
?????
  • ??????,????,????????
  • ????,?????????????
  • ??????????????
  • ???

38
???????
  • ????
  • ???
  • ????????
  • ???, ???
  • ???,???????
  • ????,????
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