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本县于1974～1991年已无黑热病的病例报告,但在1992年元月份在我们县杜集乡的张庄大队姜庄村发生一例罕见的黑热病患童,7月15日接到疫情报告后、迅速进行调查,现将结果报告如下:患童、男性,5岁于1992年1～7月份以来、经常发热,热型不规则,并在24小时内两次上升,呈双峰型,体温38℃～40℃、伴有畏寒、盗汗、乏力、头昏、口唇及眼结膜苍白、皮肤干燥、脾、肝脏肿大、牙龈出血等症状。WBC3700/mm~3,N20％、L40％,BPC75000/mm~3,血清总蛋白5g％,白蛋白3g％,球蛋白4g％。骨髓穿刺涂片利杜体阳性。该患童曾庄在有黑热病流行的甘肃省文县的桥头乡。1991年12月下旬才接回本县居住,很可能来本县前感染。患童自元月份发病以来,多次求医、但由于当时病情较轻未引起重视,只按一般病对症治疗,致
There was no case report of kala-azar from 1974 to 1991 in this county. However, in January 1992, a rare case of kala-azar was reported in Jiangzhuang Village, Zhangzhuang Brigade, Duji Township, our county. After the epidemic was reported on July 15, Rapid investigation, the results are reported as follows: Children, men, 5 years old In January to July 1992, fever, fever type irregular, and twice in a 24-hour rise was bimodal, body temperature 38 ℃ ~ 40 ℃, accompanied by chills, night sweats, fatigue, dizziness, pale lips and conjunctiva, dry skin, spleen, liver enlargement, bleeding gums and other symptoms. WBC3700 / mm ~ 3, N20%, L40%, BPC75000 / mm ~ 3, serum total protein 5g%, albumin 3g%, globulin 4g%. Bone marrow stripping smear positive lidu body. The child has had Zhuangzhuang Qimen Tou Village in Gansu Province Wen County, where kala-azar prevails. In December 1991 only to return to live in the county, is likely to come to the county before the infection. Children suffering from January since the onset of multiple medical advice, but due to less serious illness at the time did not receive attention, only according to the general disease symptomatic treatment, caused by