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目的探讨非典型间日疟疾的误诊原因及提高诊断水平。方法回顾性分析自1997~2010年收治住院的117例疟疾患者。结果 117例中误诊非典间日疟39例,误诊率为33.3%,误诊病种11种,以上呼吸道感染最多,占误诊病例的46.1%,误诊时间1例长达13d。结论加强对不典型疟疾患者的临床资料综合分析,不能因一、二次血涂片找不到疟原虫就排除疟疾,可用厚血片或骨髓片检测来提高疟疾确诊的水平,把疟原虫检测作为诊断常规。
Objective To investigate the causes of misdiagnosis and increase the level of diagnosis of atypical malaria. Methods A retrospective analysis of 117 malaria patients admitted to hospital from 1997 to 2010 was conducted. Results Of the 117 cases, 39 cases were misdiagnosed as P. falciparum, the rate of misdiagnosis was 33.3%. There were 11 misdiagnosed diseases, accounting for 46.1% of the total cases of misdiagnosis and 1 case of misdiagnosis for 13 days. Conclusion To strengthen the comprehensive analysis of the clinical data of patients with atypical malaria, malaria can not be excluded because no blood plasmas can be found in one or two blood smears, and the diagnosis of malaria can be improved by using thick or bone marrow tablets. As a diagnostic routine.