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调查2例输入性恶性疟就诊经过,分析患者被误诊死亡原因。经流行病学调查、临床症状和体征和体征以及实验室检查,结果显示2例患者临床表现均不典型,确诊前曾被误诊为多种疾病,应关注出现肝、肾、脑损害等严重的并发症,是患者死亡的主要原因。因此,医疗卫生工作者对从高疟区归国发热患者真正的病因未得到及时的治疗,加之病程进展较快,流行病学接触史,加强对疟疾诊断标准的掌握,提高临床医生对疟疾病例的认识,及时做出诊断,尽早应用抗疟药品,防止疟疾误诊误治。
Two cases of imported falciparum malaria were investigated and the cause of misdiagnosis was analyzed. The epidemiological investigation, clinical symptoms and signs and signs and laboratory tests, the results showed that 2 patients were not typical clinical manifestations, diagnosed before being misdiagnosed as a variety of diseases, should pay attention to liver, kidney, brain damage and other serious Complications, the main cause of death in patients. Therefore, medical and health workers are not treated promptly for the real cause of fever in returnees from areas of high malaria, combined with rapid course of disease progression and epidemiological exposure history, strengthening the mastery of diagnostic criteria for malaria and raising the awareness of clinicians about malaria cases Understanding, timely diagnosis, as soon as possible the application of anti-malarial drugs to prevent misdiagnosis and mistreatment of malaria.