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目的:探讨疟疾患者的临床特征及血液学的变化。方法:对78例血涂片确诊疟疾患者的临床资料进行分析。结果:78例疟疾患者均有畏寒、发热症状,其中规律间歇发热36例,不规律发热42例。肝脏肿大(6例)远少于脾脏肿大(72例)。外周血象三系均可下降,但以血小板减少最常见,白细胞下降次之,贫血相对较少。肝、肾功能均可受损,但以肝功能损害多见。结论:疟疾患者首诊误诊率高,了解疟疾的临床及血液学特征有助于疟疾患者的早期诊治。
Objective: To investigate the clinical characteristics and hematological changes of malaria patients. Methods: The clinical data of 78 cases of blood smear diagnosed malaria patients were analyzed. Results: 78 cases of malaria patients have chills, fever symptoms, including regular intermittent fever in 36 cases, 42 cases of irregular fever. Liver enlargement (6 cases) is far less than the enlargement of the spleen (72 cases). Peripheral blood as three lines may decline, but the most common thrombocytopenia, followed by leukopenia, anemia is relatively small. Liver and kidney function can be damaged, but more common in liver damage. Conclusion: The first diagnosis of malaria patients has high misdiagnosis rate and understanding of the clinical and hematological features of malaria is helpful for the early diagnosis and treatment of malaria patients.