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本人在赞比亚两年多医疗工作中所遇到的34例脑型疟疾治疗成功的经验作一简结,供同道参考。脑型疟疾在赞比亚一年两季(旱季即冬季,雨季即夏季)均可见到,雨季发病率高。根据临床表现及实验室检查不难确诊?已确诊就应立即采取特效的治疗措施,积极抢救,直至病人脱险为止。对脑型疟疾的具体抢救措施是:诊断明确后,病人若无心脏病者,应立即将5 ml 氯喹加5%葡萄糖盐水或10%葡萄糖水以每分钟50～60滴的滴速进行静脉滴注,8小时后再静滴或肌注5 ml,共用三次,高热可用物理降温或药物降温,抽搐可用冬眠。若体温下降后仍有昏迷和抽搐或有脑水肿的其它表现者,可用50%的葡萄糖,20%甘露醇或速尿进行脱水治疗。每天用200～300 mg 氢化考的松加葡萄糖水静脉滴注也可减轻中毒症状,
I summed up my experience in the successful treatment of 34 cases of cerebral malaria encountered in more than two years of medical work in Zambia for the fellow countrymen. Cerebral malaria can be seen in Zambia in two seasons (winter, winter, rainy or summer), with a high incidence in the rainy season. According to clinical manifestations and laboratory tests is not difficult to diagnose? Has been diagnosed immediately should take special effects of treatment, and actively rescue until the patient out of danger so far. Specific treatment of cerebral malaria is: After the diagnosis is clear, the patient without heart disease, should immediately 5 ml chloroquine plus 5% glucose saline or 10% glucose water at a drip rate of 50 to 60 drops per minute intravenous infusion , 8 hours and then intravenous infusion or intramuscular 5 ml, sharing three times, high fever available physical cooling or drug cooling, convulsions available hibernation. If the coma and convulsions or other signs of brain edema persist after the temperature drops, dehydration can be performed with 50% glucose, 20% mannitol or furosemide. Daily 200 ~ 300 mg hydrogenated testosterone plus glucose water intravenous infusion can also reduce the symptoms of poisoning,