论文部分内容阅读
作者对50例恶性疟急性发作时的症状特别是心血管系统的症状进行了研究。在50例中,男女各半,青壮年占绝大多数。忠者体温在急性发作的第2天稍有下降而第3天又上升者占30%。疟疾的典型体征:脾肿大10%,肝肿大10%,黄疸14%,神经系统症状10%,呕吐较多,占30%。心血管系统方面的临床表现:心率减慢者占病例的16%,心率增快10%,低血压10%,心电图非特异性变化26%,主要为ST-T异常,占22%,QT间期延长者占20%。心胸比率大于0.5者占32%。恶性疟疾急性发作的同时哮喘发作者2例,另3例患者肺部X线检查发现有病毒性肺炎的阴影。泌尿系统主要为短暂的肾功能不全占18%。作者认为静脉注射奎宁对恶性疟疾
The authors studied the symptoms of 50 cases of acute episodes of falciparum malaria, particularly cardiovascular disease. In 50 cases, half of men and women, young adults accounted for the vast majority. Loyal body temperature slightly decreased on the second day of the acute attack and increased on the third day accounted for 30%. Typical signs of malaria: splenomegaly 10%, hepatomegaly 10%, jaundice 14%, nervous system symptoms 10%, vomiting, accounting for 30%. Cardiovascular system clinical manifestations: slow heart rate accounted for 16% of cases, heart rate increased 10%, hypotension 10%, 26% non-specific ECG changes, mainly ST-T abnormalities, accounting for 22%, QT interval Extension accounted for 20%. Chest rate greater than 0.5 accounted for 32%. Two cases of acute asthma attack in patients with acute malaria and 2 cases of other patients with pulmonary lung X-ray examination found a shadow of viral pneumonia. Urinary system is mainly short-term renal insufficiency accounted for 18%. The authors consider intravenous injection of quinine against falciparum malaria