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1、发病数居前五位的病种为：发病数居前五位的病种为：发病数居前五位的病种为：发病数居前五位的病种为：肺结核肺结核肺结核肺结核、乙型肝炎、乙型肝炎、乙型肝炎、乙型肝炎、梅毒、丙肝梅毒、丙肝梅毒、丙肝梅毒、丙肝 、痢疾，占发病总数的、痢疾，占发病总数的、痢疾，占发病总数的、痢疾，占发病总数的90.06%90.06%死亡数居前五位的病种为：艾滋病、死亡数居前五位的病种为：艾滋病、死亡数居前五位的病种为：艾滋病、死亡数居前五位的病种为：艾滋病、肺结核肺结核肺结核肺结核、狂、狂、狂、狂犬病、乙型肝炎、丙肝，占死亡总数的犬病、乙型肝炎、丙肝，占死亡总数的犬病、乙型肝炎、丙肝，占死亡总数的犬病、乙型肝炎、丙肝，
2、占死亡总数的91.05%91.05%。 卫生部卫生部卫生部卫生部 20092009年年年年3 3月月月月1010日日日日2009年年2月全国法定传染病疫情报告月全国法定传染病疫情报告（20092009年年年年2 2月月月月1 1日零时至日零时至日零时至日零时至2 2月月月月2828日日日日2424时）时）时）时）慈躲貉冈粉塘抬逆虏茂栈矿诌乌样军弗萝奥镇夜韵道栗隋喀粹筋奔挖呜潭发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为：发病数居前五位的病种为：发病数居前五位的病种为：发病数居前五位的病种为：肺结核肺结核肺结核肺结核、乙型肝炎、乙
3、型肝炎、乙型肝炎、乙型肝炎、麻疹、梅毒、痢疾，占发病总数的麻疹、梅毒、痢疾，占发病总数的麻疹、梅毒、痢疾，占发病总数的麻疹、梅毒、痢疾，占发病总数的88.40%88.40%死亡数居前五位的病种为：艾滋病、死亡数居前五位的病种为：艾滋病、死亡数居前五位的病种为：艾滋病、死亡数居前五位的病种为：艾滋病、肺结核肺结核肺结核肺结核、狂、狂、狂、狂犬病、乙型肝炎、流脑，占死亡总数的犬病、乙型肝炎、流脑，占死亡总数的犬病、乙型肝炎、流脑，占死亡总数的犬病、乙型肝炎、流脑，占死亡总数的88.82%88.82%。 卫生部卫生部卫生部卫生部 20082008年年年年3 3月月月月1010日日日日2008年年2月
4、全国法定传染病疫情报告月全国法定传染病疫情报告（20082008年年年年2 2月月月月1 1日零时至日零时至日零时至日零时至2 2月月月月2828日日日日2424时）时）时）时）虹颠求酞观会爵哇厚摘瓶倚梯清壤彻裴蛊风检昂邢枯炉片决售束榆怔箕闽发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为：发病数居前五位的病种为：发病数居前五位的病种为：发病数居前五位的病种为：肺结核肺结核肺结核肺结核、乙型肝炎、乙型肝炎、乙型肝炎、乙型肝炎、梅毒、痢疾、麻疹，占报告发病总数的梅毒、痢疾、麻疹，占报告发病总数的梅毒、痢疾、麻疹，占报告发病总数的梅毒、
5、痢疾、麻疹，占报告发病总数的86.89%86.89%死亡数居前五位的病种为：狂犬病、死亡数居前五位的病种为：狂犬病、死亡数居前五位的病种为：狂犬病、死亡数居前五位的病种为：狂犬病、肺结核肺结核肺结核肺结核、乙、乙、乙、乙型肝炎、艾滋病、流脑，占报告死亡总数的型肝炎、艾滋病、流脑，占报告死亡总数的型肝炎、艾滋病、流脑，占报告死亡总数的型肝炎、艾滋病、流脑，占报告死亡总数的89.58%89.58%。 卫生部卫生部卫生部卫生部 20072007年年年年3 3月月月月1212日日日日2007年年2月全国法定传染病疫情报告月全国法定传染病疫情报告（20072007年年年年2 2月月月月1 1日零时至日零
6、时至日零时至日零时至2 2月月月月2828日日日日2424时）时）时）时）膜颠衫列骗臣拿揣肥断妆撒熬闹辛蘑硝致碾牡损疽拍姥捏物小绽炼煽序檀发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝20072007年与年与20062006年相比年相比与与与与2006200620062006年相比，年相比，年相比，年相比，2007200720072007年甲乙类传染病中，呼吸道传染病和年甲乙类传染病中，呼吸道传染病和年甲乙类传染病中，呼吸道传染病和年甲乙类传染病中，呼吸道传染病和血源及性传播传染病报告发病率分别上升血源及性传播传染病报告发病率分别上升血源及性传播传染病
7、报告发病率分别上升血源及性传播传染病报告发病率分别上升3.55%3.55%3.55%3.55%和和和和6.96%6.96%6.96%6.96%。 呼吸道传染病中的呼吸道传染病中的呼吸道传染病中的呼吸道传染病中的猩红热猩红热猩红热猩红热和和和和麻疹麻疹麻疹麻疹上升幅度较大，病例数分别上升了上升幅度较大，病例数分别上升了上升幅度较大，病例数分别上升了上升幅度较大，病例数分别上升了20.61%20.61%20.61%20.61%和和和和8.88%8.88%8.88%8.88%； 血源及性传播传染病中的血源及性传播传染病中的血源及性传播传染病中的血源及性传播传染病中的艾滋病艾滋病艾滋病艾滋病、丙肝丙肝
8、丙肝丙肝和和和和梅毒梅毒梅毒梅毒上升幅度较大，病例数分上升幅度较大，病例数分上升幅度较大，病例数分上升幅度较大，病例数分别上升了别上升了别上升了别上升了45.04%45.04%45.04%45.04%、30.01%30.01%30.01%30.01%和和和和24.09%24.09%24.09%24.09%。自然疫源及虫媒传染病和肠道传染病报告发病数分别较自然疫源及虫媒传染病和肠道传染病报告发病数分别较自然疫源及虫媒传染病和肠道传染病报告发病数分别较自然疫源及虫媒传染病和肠道传染病报告发病数分别较2006200620062006年下降年下降年下降年下降19.20%19.20%19.20%19.2
9、0%和和和和9.19%9.19%9.19%9.19%。 颧内跨颇怔协学巨印摈轻烽州院恫款弹晕异撮寂泽鸽妹隐令嘘渗益设鸭圭发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Primary Pulmonary Tuberculosis半信躇房匹涛说丈硅砖术姜尺伞双盼薯褐检蔬船蕾承靠雍乳汞转落簧疾伤发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Three landmark -Three landmark -human control TBn nMar,1882 Robert Koch (Germany)Mar,1882
10、Robert Koch (Germany)n nEffective chemotherapeuticsEffective chemotherapeutics （1944 SM1944 SM； 1950 INH 1950 INH）nProtocols in Molecular Biology used in TB research Significant progress in chemotherapyGreatly improveefficacy Overview扩眼眺两达仕诧竖杏望删史筛澄拇救股尚尘执士云遭攒清考赁药镭咨喧硝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺
11、结核乙型肝炎梅毒丙肝Tuberculotic current situationTuberculotic current situationn nAIDS and TB co-infection about 40-50%AIDS and TB co-infection about 40-50% n nAIDS and TB AIDS and TB Showed adverse effects on each otherShowed adverse effects on each otherHIVHIVHIVHIV lead to Potential TBTBTBTB expose and de
12、teriorate TB become an early complication after infected with HIVTB become an early complication after infected with HIVTB TB TB TB lead to AIDSAIDSAIDSAIDS progression and deathMost died of Pneumocystis carinii disease, bacterial pneumoniaMost died of Pneumocystis carinii disease, bacterial pneumon
13、iaa few died of TBa few died of TB Overview路杠腐蚁且季阑践教噪效重朴承叫库脾脏没辽阴眺秸谁氦绰昌城痕策猜锭发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Tuberculotic immunization Cellular immunityCellular immunityIncidence of infection depends on：Amount, flora, toxicum of bacterialImmune function of bodyAffectability（genetic factor)
14、：Patient with Patient with Antigen Antigen HLA-Bw35HLA-Bw35, incidence of , incidence of TBTB (relative risk 7.38), (relative risk 7.38), TBM TBM (relative risk 15.21)(relative risk 15.21) Overview帝闻据娄蓖睁渐埂饮辜浚芍匝莉歌拘洼襄薪馅匹甲膊驳喀些打双植嘛官鸦发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Classification of TB primar
15、y pulmonary tuberculosisprimary pulmonary tuberculosis（l l型）型）型）型） Hematogenous disseminated pulmonary Hematogenous disseminated pulmonary tuberculosistuberculosis（ll ll型）型）型）型） Secondary pulmonary Tuberculosis Secondary pulmonary Tuberculosis（llllll型）型）型）型） Tuboerculus pleurisy;tuberculous pleuriti
16、s Tuboerculus pleurisy;tuberculous pleuritis（lVlV型）型）型）型） Extrapulmonary tuberculosis Extrapulmonary tuberculosis（V V型）型）型）型）踌辩仍簇距脐厦床葛脾诬飞滇秉且吝铱寞猛竣姐运趴搬碉隔剖撂融萨漠邦发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Primary Pulmonary Tuberculosis ：one of the one of the most commonmost common clinical type in child
17、ren clinical type in childrenprimary infectionprimary infection Primary Pulmonary Tuberculosis ： Primary ComplexPrimary Complex Tuberculosis of Bronchial Lymph nodesTuberculosis of Bronchial Lymph nodes枚羊彰词晨仔缅柏痪等瞄盒寻促姆绝名瘩恃啃侗琐肥慑蹄洱泊咒捉遍貉振发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Primary complex原发综合征原发
18、综合征 primary lesions lymphangitis Lymphadenitis枝币犬澡遮嚎沉狡拍与衬壹芭勇泌很诡宅开凑吓彼哲绍踪贵僧呜风亩褐豢发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝 Tuberculosis of Bronchial Lymph nodes 支气管淋巴结结核支气管淋巴结结核 （胸内淋巴结结核）（胸内淋巴结结核） The scope of primary lesions are small or has been absorbed拒彻看笆豪扳饺久胃攫久癌猜蛰求欢翠辰琶闺伸燃胆洪蜡垄甘筑绳袱郝遗发病数居前五位的病种为肺
19、结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝 PathologyuLocation: Location: u Right-Sided Mostly，Subpleuralu bottom of lobus superior pulmonisu upside of lobus inferior pulmonisubasic lesion basic lesion ：Exudative lesions Exudative lesions ( ( ( (渗出渗出)Proliferative lesions Proliferative lesions ( ( ( (增殖增殖)Case
20、ous necrosis ( ( ( (坏死坏死)遍琴渐哑爸钢武正嘲股篮稗惟试洞幕盏姑眠亮姬拜古棍捕摘瓷族硒迅炕轨发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Chief Pathology characteristic: Epithelioid cells nodules Langerhans cellular infiltration A high degree of allergy status in child A high degree of allergy status in childExtensive inflammatory arou
21、nd lesionsExtensive inflammatory around lesionsThe younger, the more obvious large lesionsThe younger, the more obvious large lesionsresult辊账饮替猎甩玩禹肆宴荚辞鹰篷姨牟台篙空巡赐粒闻腕碗喊几拟幸旗礼育发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝uPathological prognosisPathological prognosis 1）Absorption Complete absorption、 Calci
22、fication or Scleroma Calcified lesions occur at least 6 to 12 months 2）progression Expand lesions Bronchial lymph fistula Atelectasis、Emphysema Tuberculous pleurisy 3）Deterioration Hematogenous dissemination毕捷鸥连妮绅川晌监掸噶犹切羊祝魏撬赘暴酵粳蛇绒卿萤苗添吴若并勒迪发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝、clinical manifes
23、tation()()symptom： 1 1、 feverfever 2 2、 PoisoningPoisoning symptoms of TB anorexia、acratia、Sweating（盗汗）（盗汗）（盗汗）（盗汗） 3 3、respiratory symptomrespiratory symptom Little，May have a dry cough Performance in a serious conditionPerformance in a serious condition： cough，A large number of sputum， hemoptysis，
24、dyspnea兵稍米檬汪戳耗琅溢螟喝堆雇日胁芝殉墙吾镣拖径杰门乃寇辖跑维肌柱仍发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝 4 4、Oppression symptomOppression symptom：Oppress Recurrent Laryngeal Nerve HoarsenessOppress trachea, bronchus Cough, Wheeze（喘鸣）、 Expiratory or Inspiratory obstructionOppress veins Puffiness of faceOppress phrenic ne
25、rve Nausea, vomiting, hiccup、clinical manifestation驭抹汐砂饥搁冰汾侄蹦侠貉墅跑渴碾宇缓慈扰械借磋秋这辨臃拓晓李恰向发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝、clinical manifestation() () signs Pulmonary signs: less Extra-pulmonary Signs： Herpes conjunctivitis、Skin erythema nodosum or Multiple one-off arthritis那拥慎迷赊浦靶吏俱酸篱虞炽卢祖许了衡夷发
26、肝捶吮羌且硫吉骆墓跌聊起发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝、diagnoseSignificance of early diagnosis() () () () History： Asked in detail about: History of exposure and BCG vaccination, History of infectious diseases Notice nutritional state, immune function() () () () clinical manifestation焰翟逛炳尼明兽瞩幢盘靳睦紫
27、汾构骑蘸砾堡彬乃聚仍拆级泻雪孽轨棋湃胃发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝() () PPD-Test PPD（Protein Purified Derivative） 纯蛋白衍化物Method：intradermal injections 0.1ml (皮内注射) （含5个结核菌素单位） 、diagnose摧啄孩舀掂煮囚淌晾肌两纂涡潭镁僵霜狞凄羌炬蛋弟祭超怀寸许石社惠穷发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝() () PPD-TestPPD-Test-positive clinical si
28、gnificancePPD-Test-positive clinical significance: : : :After BCG vaccinationHave been infected with TBSuffering from tuberculosis, there is a new disease activityClinical cure, TB is not deadFrom negative to positive or the level of the reaction 20mm， And an increase 6mm, show that there is newly i
29、nfected广泛推行广泛推行BCG接种后，接种后，PPD试验的诊断价值试验的诊断价值受到一定限制受到一定限制囚丛临劈孟菇窍盛欢歹搁逛铬流组兔鄙碌剖质黔些拜豢喧难毒项势接囤纵发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝() () PPD-TestPPD-Test-negative clinical significancePPD-Test-negative clinical significance：Not infected with TB In pre-allergic stage: after the initial infection 4 8
30、weeks Immune system hypofunction or temporary interference. (False negative) PPD expired or technical misconduct.用恨撑炼睫拴痰养垣尊拧脐嘶砂笨察桩细岿上筛力脆着杯醇歉阵型猪突羹发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝() () () () X-ray examination 1 1、Primary complexPrimary complex ： Primary lesion、 Cord-like lymphatic vessels
31、Swollen lymph nodes、diagnose襟肺垮予廷摄额太放得碍柞烩寂憋揍到懈骂彰挂漏唱娠烈砌姆写佣丰老迢发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝原发综合症原发综合症 女，女，3岁，岁，初染病灶在右上叶基部，支气管淋巴结肿大初染病灶在右上叶基部，支气管淋巴结肿大烈戒徽恿父弦尝渝焰秧戳赠烷胡泌恰贮撰芭岩妇困榨球鸿宜楼篓膳淄基邑发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝() () X-ray examination2 2、Tuberculosis of Bronchial Lymph nod
32、es Tuberculosis of Bronchial Lymph nodes ： Cancer typeCancer type （nodular type）镑乞疤拭凌迪缩页蚕招哗铬泌径晒皱性脖盆妖也骆淳毗峻洒频萨踢九慈捅发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝左侧支气管淋巴结结核左侧支气管淋巴结结核肿瘤型肿瘤型女，6岁。母有开放性肺TB，病史2年书篇辫趟钥请诊邹菲虽萎砌孽蜜揽购另辣孟严财怒吝惦考锦巩蜒高黔酣沧发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝() () X-ray examination
33、2 2、Tuberculosis of Bronchial Lymph nodes Tuberculosis of Bronchial Lymph nodes ： Infiltrating type （Inflammation type）星谁厌式墅瑟赏胁陈逸嗓坟窄埋渴铀良这绕夺伎贺埔挤也肩篇砰躬糕疙缘发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝右侧支气管淋巴结结核右侧支气管淋巴结结核浸润型浸润型女，5岁。脑脊液呈典型TBM改变晨浆李羔拼事巧埋吴公拙敖尊猪遭耕禁爆迹恐耻渐猛噪稿恐淫情讥笛移象发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病
34、种为肺结核乙型肝炎梅毒丙肝支气管淋巴结结核伴发淋巴结周围炎支气管淋巴结结核伴发淋巴结周围炎唤收嗓龟寂牺卞听佳暴节烙铲养澡侄示庐雏缄检徘柿传倡售煎凄赢免方艺发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝()()()() other auxiliary examination 1、Finding tubercle bacillus in sputum or gastric juice 2、Superficial lymph node biopsy 3、Peripheral blood 4、ESR 5、Flexible bronchofiberscope e
35、xamination 6、Antibody of TB、diagnose储界沿滚湖簇蔼嚷讣崖尘吱躺椰娄涌殴猫观寨暇炮忠涪剖还但措焙鼻同麓发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝、Differential Diagnosis1、before Chest X-ray inspection URI、tracheitis、rheumatic fever2、After Chest X-ray inspection pneumonia、bronchiectasis 吵世弄凄繁伎县捌讯壮淡恿委乱竿滦坤哪尹髓溶颇洗踪踌隐锈躇冀悄嗓娩发病数居前五位的病种为肺结核乙
36、型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝、treatmentprincipleprinciple：early, combine, appropriate amount, regularity、whole rangeUntreated TB:Untreated TB: at least 10 persons /per 100 persons resistant for a anti-TB drug, there is at least 1 person/per 100 persons resistant for MDR-TB (multi-drug resistant).Re-
37、treated TBRe-treated TB (previous accepted anti-TB treatment more than one month): at least 20 persons/per 100 persons of a drug resistance, 7 persons/per 100 persons MDR-TB.course：Short-term therapygeneral treatment：Rest, Nutrition, regular life天枣曹篷哦切茄圃讹疗韧虽罩持烤醋讹庶几扑弧仑池倦亭胳权捶床闲弃麓发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝
38、发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝Drug therapyDrug therapy：6HR或或9HR， Serious：add on S2S2月（月（月（月（2SHR/46HR2SHR/46HR） or Z3Z3月（月（月（月（3HRZ/36HR3HRZ/36HR）Drug ClassificationDrug Classification：USAUSA Maximum effect，Minimal toxicity egeg：ININHH、R RFPFP Greater effect，Greater toxicity eg eg：S SMM、E EMBMB、P PZ ZA A Mi
39、nimal effect，Maximum toxicity eg eg：K KMM、treatment腕函八吗亨缉之讨乾矗欢稿奢瓢瓷积淡江慨宦泥何搬已碎栅狞啃视哪踊惋发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝the basic mechanism of Short treatmentthe basic mechanism of Short treatment ： Fast kill tubercle bacillus in the boday Different propagation speedinside and outside of the
40、CellsThe basic characteristics of short-term The basic characteristics of short-term therapy:therapy: 1 1、sputum culture turn negtive quicklysputum culture turn negtive quickly 2 2、low incidence of the long-term recurrencelow incidence of the long-term recurrence 3 3、full course of treatment failure
41、 less, the high rate of full course of treatment failure less, the high rate of sputum culture turn negtivesputum culture turn negtive 4 4、with less drug side effectswith less drug side effects high efficacy, less toxicity, few cost, and could high efficacy, less toxicity, few cost, and could preven
42、t drug-resistant strainsprevent drug-resistant strains、treatment致恼预编午宗厉茂男惫件庸渝否补仅嘘钢檀砍球榨趋者旦散棺迭路顺驯刃发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝 PrognosisClinical symptoms: turn for the better after 36 monthsRequired 2-year improvement in pathologicalrecoveryquiescenceprogressiondeteriorationLow immunization靠诛县匪需内揍帖悉美酶冒惋吗慎碌杖翅廷泰俏告妈霹性邱锨疆央雏德絮发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝发病数居前五位的病种为肺结核乙型肝炎梅毒丙肝
