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作者根据在马里多年的工作经验认为,单凭发热不能确诊疟疾,而且血检也常常不起作用,因为在流行季节几乎所有儿童均是疟原虫带虫者,而原虫血症的程度往往与死亡无关。有些儿童疟原虫密度高,但不发热,甚至无任何症状,有些儿童虽然血内原虫密度非常低,却死于急性脑型疟发作。其原因无疑是恶性疟原虫的裂体增殖主要在内脏里进行。所以,脑型疟患者死后的诊断需以内脏,尤其是脑的毛细血管内的感染为依据。
Based on her years of work experience in Mali, the author believes that malaria can not be diagnosed by fever alone and that blood tests are often ineffective because almost all children in the epidemic season are malaria parasites, and the degree of protozoosis is often associated with death Nothing to do Some children have a high density of Plasmodium but no fever or even any symptoms. Some children die of acute cerebral malaria even though the density of blood protozoa is very low. The reason is undoubtedly the falciparum of P. falciparum proliferation mainly in the internal organs. Therefore, the diagnosis of cerebral malaria patients after death needs to be based on visceral, especially the capillary capillaries in the brain.