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临床上间日疟并发黑尿热者虽为少见,而出现极度贫血,血色素仅1g 者更属罕见。现将我院收治1例报告如下。患者,男,10岁。1983年7月11日中午起患儿畏寒发热,约3个多小时后自行退热。以后每隔1天发作1次,并有头昏、头痛、出汗、乏力、食欲不振。至7月21日出现持续性发热,解酱油样小便2次。并有口渴、心烦、恶心呕吐等症而急诊入院。发病后未接受过任何治疗,起病前后均无进食蚕豆史。入院检查:T39℃,P110次,R32次,Bp66/50。神志尚清,极度衰竭,面色苍白,皮肤潮湿,巩膜轻度黄染,全身表浅淋巴结不肿大,颈软,两肺可闻及散在中小水泡音,心律齐,心尖区可闻Ⅲ级收缩期杂音,呈吹风样。腹软,轻度膨隆,肝刚可触及,质软有轻压痛。脾肋下1.5cm,腹水症阴性。未引出病理性神经反射。
Although viremia in patients with clinical black malaria although rare, and the emergence of extreme anemia, hemoglobin is only 1g more rare. Now in our hospital admitted to a report as follows. Patient, male, 10 years old. Children with chills and fever at noon on July 11, 1983, about 3 hours after their own antipyretics. After every 1 day attack 1, and dizziness, headache, sweating, fatigue, loss of appetite. To July 21 sustained fever, soya sauce-like urine 2 times. And thirst, upset, nausea and vomiting embolism and emergency admission. Did not receive any treatment after onset, before and after onset no history of eating beans. Admission examination: T39 ℃, P110 times, R32 times, Bp66 / 50. Consciousness is still clear, extreme exhaustion, pale, skin moist, scleral mild yellow dye, systemic superficial lymph nodes are not swollen, neck soft, both lungs can be heard and scattered in small and medium blisters sound, heart Qi Qi, apex area can be heard Ⅲ grade contraction Period murmur, was blowing like. Abdominal soft, slightly bulging, liver just accessible, soft and mild tenderness. 1.5cm spleen ribs, ascites disease negative. Did not elicit pathological reflexes.