对伴有呼吸窘迫的危及生命的疟疾患儿施以输液疗法

• 作 者: 佟小莺
• 出 处: 国外医学(寄生虫病分册)
• 发表日期: 1997年04期
• 关键词: 输液疗法 呼吸窘迫 恶性疟 输液法 充血性心衰 血涂片 慢性病史 周效磺胺 中央静脉压 输液速度

脑疟可与疟疾所致的贫血同时发生,为疟疾的主要死因,如伴有呼吸窘迫,则死亡率更将提高。人们普遍认为采用输液疗法治疗伴有呼吸窘迫的疟疾患儿可引起充血性心衰和肺水肿。作者研究了输液法治疗伴呼吸窘迫的恶性疟患儿的安全性。 选择24名符合以下标准的儿童:有呼吸窘迫、体重>5kg、血涂片恶性疟原虫阳性、无慢性病史并且父母亲同意给予输液疗法。

Cerebral malaria can occur simultaneously with anemia caused by malaria and is the leading cause of malaria. If accompanied by respiratory distress, the mortality rate will increase even more. It is generally accepted that the use of infusion therapy in children with malaria associated with respiratory distress can cause congestive heart failure and pulmonary edema. The authors studied the safety of transfusion in the treatment of children with falciparum malaria with respiratory distress. Twenty-four children were selected who had respiratory distress, weight> 5 kg, blood smear positive for Plasmodium falciparum, no history of chronic disease, and parental consent for infusion therapy.