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报告斯里兰卡65例初发疟疾,62例为间日疟,3例恶性疟。外周血片均找到疟原虫。红细胞原虫感染率0.1~2%。全部病例均有发热,但无并发症。 37例(57%)肝脏肿大,其中10例肝脏于右肋下1.5厘米,9例3厘米,8例达4.5厘米。肝脏肿大持续5~10天,随抗疟治疗而消退。 10例(15.4%)有轻~中度黄疸,持续3~5天。其中9例伴有肝脏肿大。5例脾脏可触及。血清胆红素为1.6~5毫克/100毫升。黄疸患者没有高铁血红蛋白血症或血红蛋白尿,没有明显的血管内溶血证据。红细胞渗透脆性正常。直接及间接抗球蛋白试
Sixty-five cases of first-time malaria were reported in Sri Lanka, 62 cases were Plasmodium vivax and 3 cases were falciparum malaria. Plaque were found in peripheral blood plasmodium. Red blood cell protozoal infection rate of 0.1 to 2%. All cases have fever, but no complications. Thirty-seven patients (57%) had enlarged liver, of which 10 had liver 1.5 cm below the right rib, 9 cm 3 cm and 8 up to 4.5 cm. Liver enlargement lasted 5 to 10 days, with anti-malarial treatment and dissipated. Ten patients (15.4%) had mild to moderate jaundice, lasts 3 to 5 days. Nine of them had enlarged liver. 5 cases of spleen can be touched. Serum bilirubin is 1.6 to 5 mg / 100 ml. Jaundice patients do not have methemoglobinemia or hemoglobinuria, there is no evidence of intravascular hemolysis. Erythrocyte infiltration fragility normal. Direct and indirect anti-globulin test