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1978年在几内亚比绍卡松果省医院工作期间共收治脑型疟疾52例,采用二盐酸奎宁冲击疗法,均获治愈,现报告如下。 52例(男40例,女12)例中以1～7岁为最多占75％。起病急骤,病后12小时内入院者占94.2％,均有高热、抽搐及意识障碍(嗜睡或昏迷),少数病例有脾大(25％)及神经系统病理征(15.3％)。本组病例于入院时以外周血液标本厚片与薄片均找到疟原虫,经鉴定皆属恶性疟原虫。尿常规检查:42例正常,10例尿蛋白(±～卄),红细胞(5～卄)、颗粒管型0～7/高倍镜。
In 1978, 52 cases of cerebral malaria were treated during the work of Carcassonne Provincial Hospital in Guinea-Bissau. All patients were cured with quinine dihydrochloride shock therapy and are reported as follows. Among the 52 cases (40 males and 12 females), 75% of the patients were mostly aged 1 to 7 years old. The incidence of sudden onset, admission within 12 hours after illness accounted for 94.2%, have high fever, convulsions and disturbance of consciousness (drowsiness or coma), a few cases of splenomegaly (25%) and nervous system pathology (15.3%). This group of patients on admission to the peripheral blood specimens and thin slices have found plasmodia, have been identified are Plasmodium falciparum. Urine routine examination: 42 cases of normal, 10 cases of urinary protein (± ~ 卄), red blood cells (5 ~ 卄), granular tube 0 ~ 7 / high power.