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分析2例非疫源地黑热病病历资料。2例患者均有黑热病疫区生活史,且长期不规则发热,脾脏呈进行性肿大,肝脏肿大,白细胞计数降低,贫血,血小板减少等症状;骨髓检查显示网状吞噬型细胞多见,吞噬细胞内外可见利杜体,因此确诊为黑热病。予以对症治疗和葡萄糖酸锑杀虫治疗,患者发热症状消失,血细胞数回升,脾脏回缩,肝功能恢复,2例患者痊愈出院。
Analysis of 2 cases of non-epidemic black fever medical records. Both patients had life history of SARS, long-term irregular fever, progressive splenomegaly, enlarged liver, decreased white blood cell count, anemia, thrombocytopenia and other symptoms; bone marrow examination showed reticular phagocytic cells more common, Lidus phagocytosis visible inside and outside the body, it was diagnosed as kala-azar. To symptomatic treatment and antimony gluconate treatment, the patient disappeared fever symptoms, blood cell count rose, spleen retraction, liver function recovery, 2 patients were discharged.