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我院儿科 1994年 3月连续发现 3例新生儿输血性疟疾,报告如下。 例1,男,41天,因不规则发热4天入院。既往史:该儿G_1P_1是月产钳助产分娩,血型B型,曾因腹泻在我院治疗,住院期间输 B型新鲜血 25ml,住院 5天痊愈出院。母无疟疾史。本次入院体检,体温38.7℃,面色苍白,心肺正常,腹膨,肝肋下1cm,质软,脾助下2cm,质软,拥抱反射正常。实验室检查,白血球计数11.6×10~9/L,N 0.37,L 0.63,血红蛋白 105 g/L,外周血查出间日疟原虫。经口服氯喹3日后外周血仍见疟原虫,再予蒿甲醚肌注四日后痊愈出院。 例2,男,35天,因发热2天入院,既往史:该儿G_1P_1,足月顺产,血型B型,曾因腹泻入我院治疗,住院
Pediatrics in our hospital in March 1994 found three consecutive cases of neonatal transmissible malaria, the report is as follows. Example 1, male, 41 days, due to irregular fever admitted to hospital for 4 days. Past history: the child G_1P_1 is a midwife assisted delivery, blood type B, had diarrhea in our hospital treatment, during hospitalization of type B new blood 25ml, 5 days hospitalized were discharged. The mother has no history of malaria. The admission examination, body temperature 38.7 ℃, pale, normal heart and lungs, abdominal swelling, liver ribs 1cm, soft, spleen help 2cm, soft, hug reflex normal. Laboratory tests, leukocyte count 11.6 × 10 ~ 9 / L, N 0.37, L 0.63, hemoglobin 105 g / L, isolated from the blood of Plasmodium vivax. After oral administration of chloroquine 3 days after the blood is still seen in malaria parasites, and then to artemether intramuscular injection cured four days after discharge. Example 2, male, 35 days, 2 days due to fever admission, past history: the child G_1P_1, full-term spontaneous, blood type B, had diarrhea into our hospital for treatment, hospitalization