作者对北也门24例已确诊的脑型疟疾在治疗前做了眼底检查发现:视网膜后极部新鲜,播散性出血占13.6％。视乳头退色,视网膜色淡、静脉充盈扩张等眼底贫血约占75％。在疟疾高发地区和季节,对突然发病,高热,抽搐伴有意识障碍、嗜睡、谵妄、昏迷、贫血面容、偏瘫、肝脾大,尚未查出疟原虫时,眼底改变对其诊断可提供一定的参考价值。 The authors examined 24 confirmed brain malaria cases in North Yemen before fundus examination and found that the posterior pole of the retina was fresh and the disseminated hemorrhage was 13.6%. Optic discoloration, retinal pale, venous filling and expansion of the fundus anemia accounted for about 75%. In malaria-prone areas and seasons, the fundus alteration may provide a reference for the diagnosis of sudden onset, high fever, convulsions associated with disturbance of consciousness, drowsiness, delirium, coma, anemic face, hemiplegia, hepatosplenomegaly, value.