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0%). After initial examination and diagnosis, 4.2% patients refused treatment. Conclusions The epidemiological statistics of TDI in Xi'an, China show consistency with other studies from around the world, but they also vary in diagnosis proportion and the choice of treatments. This information may further instruct treatment, prevention and emergency resources distribution to target the high-risk groups.Background Preventive and early diagnostic methods such as health promotion and disease screening are increasingly advocated to improve