作者等在内罗毕临床研究中心,对89例可疑或确诊的内脏利什曼病人抽取了549份脾穿刺液,其中有46例是新诊断出的内脏利什曼病人,17例是复发或抗锑性病人,4例是接受治疗时转来的病人,另22例经脾穿刺后检查阴性。血清学试验亦未显示有内脏利什曼病的迹象。所有确诊的病人,于治疗前或治疗后每周作脾穿刺涂片镜检利什曼原虫,脾穿刺液涂片中的原虫密度按对数尺度分 At the Nairobi Center for Clinical Research, the authors extracted 549 splenic aspirates from 89 patients with suspected or confirmed visceral leishmaniasis, of which 46 were newly diagnosed visceral leishmaniasis and 17 were relapsed or antimony Four patients were sexually transmitted, and the other 22 patients were negative after splenectomy. Serological tests also did not show any evidence of visceral leishmaniasis. All diagnosed patients, before treatment or after treatment weekly spleen puncture smear Leishmania, spleen puncture liquid protoplast in the logarithmic scale