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目的回顾性分析河南省报告的疟疾死亡病例,并总结死亡原因。方法收集整理2010-2015年间河南省疟疾死亡病例的个案信息、流行病学调查报告以及住院病历,汇总分析。结果 6年间河南省共计14例疟疾病例死亡,均为非洲感染的输入性恶性疟病例,青壮年男性,有明确的疟疾流行区生活史,回国后均有发热症状,其中12例辗转多家医疗机构得以确诊,从发病到确诊的平均时间为6.5 d。14例患者均因错过了最佳救治时间而死亡。结论就诊不及时和误诊、误治是造成河南省输入性疟疾病例死亡的主要原因。故加强宣教力度,强化培训,提高临床医生的疟疾诊治水平是防止输入性疟疾病例死亡的重要措施。
Objective To retrospectively analyze the reported cases of malaria death in Henan Province and summarize the causes of death. Methods Collecting and collecting case information, epidemiological investigation reports and inpatient medical records of malaria deaths in Henan Province during 2010-2015, and summarizing and analyzing them. Results A total of 14 cases of malaria deaths were reported in Henan Province during the past 6 years. All of them were imported falciparum malaria cases from Africa. Among them, young males had definite life history of malaria endemic areas and all had fever symptoms after returning home. Among them, 12 Institutions were diagnosed, from the onset to the diagnosis of an average of 6.5 d. All 14 patients died because they missed the best treatment time. Conclusions The treatment is not timely and misdiagnosed, and mistreatment is the main cause of the death of imported malaria cases in Henan Province. Therefore, it is an important measure to prevent the death of imported malaria by strengthening the propaganda, strengthening the training and improving the diagnosis and treatment of malaria by clinicians.