论文部分内容阅读
目的了解输入性疟疾的临床特点、抗疟药治疗效果,为临床诊治提供参考依据.方法对收治的30例非洲务工疟疾患者的临床表现、实验室检查、治疗方案进行回顾性分析.结果血检疟原虫阳性19例,其中,恶性疟原虫6例,间日疟原虫5例,分型不详8例;30例中单用蒿甲醚治疗10例,青蒿琥酯治疗8例,双氢青蒿素哌喹片治疗5例,氯喹治疗1例,蒿甲醚联合双氢青蒿素哌喹片治疗6例;疗程最短2 d,最长15 d,所有病例最终均有效控制症状.结论输入性疟疾临床症状典型,有急性肝损害、急性血管内溶血、急性肾衰竭、脑型疟疾及肺病变等常见并发症,血检疟原虫阳性率较高,常用抗疟药物能有效控制症状.
Objective To understand the clinical characteristics of imported malaria and the therapeutic effect of antimalarial drugs and provide a reference for clinical diagnosis and treatment.Methods The clinical manifestations, laboratory tests and treatment regimens of 30 malaria cases in Africa were analyzed retrospectively.Results Blood tests Plasmodium positive in 19 cases, of which 6 cases of Plasmodium falciparum, 5 cases of Plasmodium vivax, 8 cases of unknown classification; 30 cases of artemether alone in 10 cases, artesunate treatment in 8 cases, Artemisinin and piperaquine tablets treatment in 5 cases, chloroquine treatment in 1 case, artemether combined with dihydroartemisinin and piperaquine tablets treatment in 6 cases; the shortest course of 2 d, up to 15 d, all cases are the final effective control of symptoms .Conclusion Enter Typical clinical symptoms of sexual malaria, acute liver injury, acute intravascular hemolysis, acute renal failure, cerebral malaria and lung disease and other common complications, the blood test positive for Plasmodium positive, commonly used anti-malarial drugs can effectively control the symptoms.