在许多疟疾地方性流行区的门诊,主要按临床症状决定是否给予疟疾假定性治疗,这样做弊病不少。作者于1993年1月至4月在马拉维一家公立医院门诊进行调查,以了解改为根据镜检确诊后治疗的药费开支情况。 马拉维的疟疾病人90％是恶性疟。当地成人如有发热病史且无明显细菌感染征象即假定诊断为疟疾,均接受常规首选抗疟药磺 In many outpatient clinics in endemic areas of malaria, presumptive treatment of malaria is primarily based on clinical symptoms, which do so many disadvantages. The author conducted a survey in a public hospital outpatient clinic in Malawi from January to April 1993 to understand the medical expenses and expenses that had been changed to be treated according to the microscopic examination. 90% of malaria patients in Malawi are falciparum malaria. Local adults with a history of fever and no signs of bacterial infection, presumably diagnosed as malaria, are receiving conventional preferred antimalarial