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作者对1982年热带医学与卫生学皇家学会会报第1期所载Silva等报道的1例先天性间日疟颇为关注。对此例婴儿既服氯喹又服伯喹的治疗方案提出了不同的看法。1980年7月,Silva等收治了1例8周男婴,出生时体重约3kg,于出生后第4天曾出现轻度黄疸2天。第9天开始低热,用抗菌素治疗无效。体检时脸色苍白,无黄疸,无呼吸困难,脉搏150次/分,无淋巴结病。而肝肿大达肋缘下5cm,脾肿大,质软达肋缘下3cm。实验室检查,血红蛋白值为6.8 g%,血片用
The authors are concerned about one case of congenital vivax malaria reported by Silva et al. In the first issue of the Royal Society of Tropical Medicine and Hygiene in 1982. Different views were given on the treatment of both chloroquine and toberroquine in this infant. In July 1980, Silva et al. Treated one 8-week-old baby boy weighing approximately 3 kg at birth and having mild jaundice on day 4 after birth for 2 days. On the 9th day, fever started and was ineffective with antibiotics. Physical examination pale, jaundice, no breathing difficulties, pulse 150 beats / min, no lymphadenopathy. The hepatomegaly up to the costal margin of 5cm, splenomegaly, soft up to the costal margin 3cm. Laboratory tests, hemoglobin value of 6.8 g%, blood film use