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患者系泰国Chantaburi省(曼谷东330km)人,女,28岁。1978年12月29日因头痛、间歇发热10天进曼谷热带病院。一个月前到过Chantaburi密林深处,一周后发病。进院前曾服退热药和抗疟药(药物剂量不知)未见好转。患者神志清楚,仅轻微脱水与贫血,右眼结膜下出血,但无黄疸,肝触及,脾未及,体温40℃。血片查到恶性疟原虫环状体,红细胞寄生率达2%,血色素7.8g 白蛋白2.8g,其他无异常。患者经服用2片Fansidar(1g周效磺胺+50mg乙胺嘧啶),6天后原虫消失,体温下降。于第13和17天原虫重现,红细胞寄
The patient is Thailand, Chantaburi Province (330km East Bangkok), female, 28 years old. December 29, 1978 due to headache, intermittent fever 10 days into the tropical hospital in Bangkok. Came to the depths of the Jungle of Chantaburi a month ago, a week later onset. Pre-hospital antipyretics and anti-malarial drugs (dose unknown) did not improve. Patients with clear consciousness, only mild dehydration and anemia, right eye subconjunctival hemorrhage, but no jaundice, liver, spleen and body temperature 40 ℃. Blood film found in P. falciparum ring, erythrocyte parasitism rate of 2%, 7.8g albumin hemoglobin 2.8g, the other no abnormalities. Patients taking 2 Fansidar (1g pesosulfan + 50mg pyrimethamine), 6 days after the protozoa disappeared, body temperature decreased. On the 13th and 17th days the protozoa reproduce and send red blood cells