论文部分内容阅读
目的探讨恶性脑型疟诊治要点,以利于快速诊断,精准、有效治疗。方法通过近期收治的一例恶性脑型疟病况及各相关文献报道,了解总体诊治及预后情况,全面分析归总诊治要点。结果该病治愈率约87.5%,死亡率12.5%。死亡者多为儿童、免疫力低下者及多脏器功能损伤者。结论对于不明原因发热、意识障碍、贫血、脾脏肿大、血小板减少者,需特别重视患者有无疫区史,考虑到疟疾可能,反复行血涂片或骨髓涂片查找疟原虫,精准加用抗疟药物,必要时可联用抗疟药。
Objective To investigate the diagnosis and treatment of malignant cerebral malaria in order to facilitate rapid diagnosis, accurate and effective treatment. Methods A case of malignant cerebral malaria recently treated and related reports, to understand the overall diagnosis and treatment and prognosis, a comprehensive analysis of the main points of diagnosis and treatment. Results The cure rate of the disease was about 87.5%, the mortality rate was 12.5%. Mostly dead children, those with immunocompromised and multiple organ dysfunction. Conclusion For patients with unexplained fever, unconsciousness, anemia, splenomegaly and thrombocytopenia, special attention should be paid to patients with or without epidemic area history, taking into account the possibility of malaria, repeated blood smears or bone marrow smears to find the malaria parasite, accurate plus Antimalarial drugs, if necessary, can be combined with antimalarial drugs.