Clinical observation was performed on 56 cases of active tuberculosis combined with D.M., from January, 1986 to December, 1989 at Inchon tuberculosis hospital. The following results were obtained. 1. The active tuberculosis combined with D.M. was 5.7% of the active tuberculosis. 2. The male-female sex ratio was 4.6:1 and peak incidence of age was 50~69 years 3. In chest P-A view, the far advanced tuberculosis was most common and the tuberculosis with cavity was 71.4%. 4. In patten of the infiltration on chest P-A view, patch or confluent pattern was most common. 5. In chest P-A view, the improved cases within 6 months regardless of D.M. control were 39(69.5%)cases and 18(69.2%)cases among well controlled state, 7(70%)cases among fairly good controlled state, 9(75%)cases among not controlled state, and 5(62.5%)cases among worse cases had improved. As a results, D.M control was not significant influence in the tuberculosis treatment. 6. The cases who were resistant to 2 or more drugs were aggravated in the 50% cases.
In order to analyze the patients who visited long period on Family Practice office, 862 patients who were followed up more than 6 months by residency trained family physician were classified according to the ICPC coding system. The results were as follows.
1. The ratio of male and female was 1 : 1.3. 2. 0-9 year old group was largest by 33.6% The frequency of the pediatric group under 15 years old was 41.0% and the geriatric group above 65 years old was 5.2% 3. The total number of reasons for encounter (RFEs) was 1999, the average RFE per patient was 2. 3 and the kind of RFEs was 125. Among them, cough, fever, symptom/complaint throat, URI ranked most common. 4. The most common RFE system were respiratory system(37.2%), digestive system (20.9%), general system (15.05), respiratory system (6.2%). 5. The 113 kinds of diagnoses were used. All number of diagnoses was 1749, and mean number of diagnoses of each patient was 2. 02. The most common disease were URI (24.9%), disordered stomach function (8.9%), acute bronchitis/bronchiolitis (8.6%), tonsilitis acute (5.4%). 6. The most common disease system were respiratory system (49.8%), digestive system (24.4%), psychological system (4.0%), dermatologic system (3.8%).