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患儿男,48天,1989年12月17日,以重度贫血原因待查入我院儿科,患儿于入院前半月面色发白,逐渐加重,伴咳嗽6天,流清鼻涕,嗜睡,呕吐(1～2次/日),入院前一天晚发热(体温未测)。查体:重度贫血貌,呼吸44次/分,肺部无干湿罗音,呼吸音粗,无缺氧发绀表现。心率160次/分,心脏各瓣膜未闻杂音。腹软,肝剑下2cm,肋下3～4cm。体温35.5℃。查Hb 47g/L,RBC 1.35×10~(12)/L。住院后急查血常规,发现有大量间日疟原虫,10560个/mm~3。每一千个红细胞可见环状体4个,滋养体7个,裂殖体1个。住院期间热型极不典型,波动在35.5～39.8℃之间,无周期性和间歇性特点。确诊后即行抗疟治疗,住院16天痊愈出院。出院时查Hb 127g/L,RBC 4.13×10~(12)/L。未见疟原体。患儿母分娩前16天曾患疟疾。我县时值冬季,
Children with male, 48 days, December 17, 1989, to be admitted to our hospital due to severe anemia, children with pale, gradually aggravated, with cough for 6 days, flow clear nose, lethargy, vomiting (1 ~ 2 times / day), the day before admission, fever (body temperature not measured). Physical examination: severe anemia appearance, breathing 44 beats / min, lungs without wet rales, rough breathing sounds, no hypoxic cyanosis. Heart rate 160 beats / min, the heart of the valve unheard noise. Abdomen soft, liver sword 2cm, ribs 3 ~ 4cm. Body temperature 35.5 ℃. Check Hb 47g / L, RBC 1.35 × 10 ~ (12) / L. Urgent blood tests after admission, found that a large number of Plasmodium vivax, 10560 / mm ~ 3. Per thousand red blood cells can be seen 4 annular bodies, trophozoites 7, schizonts 1. During the hospital fever is extremely typical, fluctuations in 35.5 ~ 39.8 ℃, no periodic and intermittent features. After the diagnosis of anti-malarial treatment, hospitalized 16 days were discharged. Hb 127g / L and RBC 4.13 × 10 ~ (12) / L were detected at discharge. No malaria. Children with malaria 16 days before delivery. My county when winter,