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目的:分析重症脑型恶性疟疾的临床特点,提高临床诊断准确率及治疗效果。方法:结合文献对1例重症脑型恶性疟疾的临床学特点、影像学表现和治疗效果进行分析。结果:该例重症脑型疟疾患者起病临床表现不典型,进展迅速,多脏器功能衰竭。病原学诊断明确后,及时对症和对因治疗取得了很好的效果。结论:重症脑型恶性疟疾病情严重,需结合流行病学史、临床表现及实验室检查早期诊断,积极治疗,改善预后。
Objective: To analyze the clinical features of severe cerebral malaria and improve the accuracy of clinical diagnosis and treatment. Methods: The clinical features, imaging findings and therapeutic effects of one case of severe cerebral malaria were analyzed based on the literature. Results: The onset of severe cerebral malaria patients with atypical clinical manifestations, rapid progress, multiple organ failure. Etiological diagnosis is clear, timely symptomatic and for treatment has achieved good results. Conclusion: Severe cerebral falciparum malaria is in severe condition. Early diagnosis, active treatment and prognosis should be combined with epidemiological history, clinical manifestations and laboratory tests.