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贵刊1973年第3期刊登的这篇文章,诊断问题有商榷之必要。一、作者描写的“典型病例”,谓“血片中找到间日疟原虫配子体”。在血里仅仅发现配子体,不足以证实现症疟疾的诊断(注),只说明患者是疟疾带虫者。疟疾的临床发作是由无性体原虫,即裂殖体破坏红细胞后所产生。该“典型”病例所出现的昏迷、失语、抽搐等症状,不能排除由其他急性传染病引起的可能。二、16例中,复发或再感染占12例,这些间日疟
Your article published in 1973 third issue of this article, the diagnosis is open to question the necessary. First, the author describes the “typical case”, that “blood film found in Plasmodium vivax gametophyte.” Merely finding gametophytes in the blood is not enough to confirm the diagnosis of the disease malaria (note), only to show that the patient is a malaria-borne insect. The clinical malaria episode is caused by asexual protozoa, the schizonts that destroy erythrocytes. Symptoms such as coma, aphasia and convulsions in this “typical” case can not rule out the possibility of other acute infectious diseases. Second, in 16 cases, recurrence or re-infection accounted for 12 cases of these vivax malaria