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确诊为脑型疟的144例患者中,21例(14.6%)有视网膜出血。确诊标准为:神志不消和血片检出恶性疟无性体。所有患者均及时采用奎宁标准方案治疗,其中50例静注地塞米松。视网膜出血的21例中13例为多发性出血,14例为双侧,2例见有无数小的渗出物;4例有水肿而其中1例为双侧;2例出血扩展至玻璃体下。多数出血位于视网膜表面,有些位于视网膜下。无光反射消失者。在观察期间有6例发生出血或加重。21例中除7例死亡外,出血均迅速吸收,未造成眼科方面的异常后果。 144例中有视网膜出血与无出血患者的
Of 144 patients diagnosed with cerebral malaria, 21 (14.6%) had retinal hemorrhage. The diagnostic criteria are: unconsciousness and blood film detection of falciparum malaria asexual. All patients were promptly treated with quinine standard regimen, of which 50 were intravenously dexamethasone. Of the 21 cases with retinal hemorrhage, 13 were multiple bleeds, 14 were bilateral, 2 were numerous exudates, 4 were edematous and 1 was bilateral, and 2 extended to the vitreous. Most of the bleeding in the retina surface, some in the retina. No light reflection disappeared. In the observation period, 6 cases of bleeding or aggravating. In addition to the seven cases of 21 cases of death, bleeding were rapidly absorbed, did not cause adverse consequences of ophthalmology. Of 144 patients with retinal hemorrhage and no bleeding