低疟区内医疗单位疟疾漏诊情况调查研究

• 作 者: 陈素良 石磊 李桂银 张志坤 池良增 刘擎芝 聂鑫 杨愈通 刘红海 肖中波
• 机 构: 河北省卫生防疫站,河北省卫生防疫站,河北省卫生防疫站,河北省卫生防疫站,石家庄市栾城县卫生防疫站,石家庄市栾城县卫生防疫站,石家庄市栾城县卫生防疫站,廊坊市固安县卫生防疫站,廊坊市固安县卫生防疫站,廊
• 出 处: 医学动物防制
• 发表日期: 1995年02期
• 关键词: 疟疾监测 疟区 漏诊率 基层医生 漏诊情况 鉴别诊断 流行区 综合性预防 抗疟药 单采血浆

本文报告了在疟疾低度流行区医疗单位疟疾漏诊状况的调查结果,指出了由于医生多年来见不到疟疾病例,缺乏经验或警惕性,致使69.14％的病例漏诊。其中村级诊所漏诊率为87.65％,乡卫生院漏诊率为97.50％,县级医院漏诊率为85.71％,市级及市级以上医疗单位漏诊率为30.77％,可见,提高基层医生疟疾诊断和鉴别诊断的能力,对低疟区的疟疾监测非常重要。

This paper reports the findings of a survey on the status of missed diagnosis of malaria in medical units in areas of low endemicity of malaria and pointed out that 69.14% of the cases were missed by lack of experience or vigilance due to doctors’ inability to see malaria cases over the years. Among them, the rate of misdiagnosis in village clinics was 87.65%, the rate of misdiagnosis in township hospitals was 97.50%, the rate of misdiagnosis in county-level hospitals was 85.71%, and the rate of misdiagnosis was 30.77% in municipal-level and above-level hospitals. The ability to differentiate diagnoses is important for malaria surveillance in areas of low malaria.