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作者选择了急性恶性疟昏迷的脑型疟患者,男性7例,女性3例,年龄13～53岁,全部患者经进一步排除患有病毒或细菌性脑膜脑炎、肝性脑病及药物中毒后,进行静脉注射抗疟药治疗。4例病人在扫描前每6小时静脉注射地塞米松5mg。7例病人在做计算机体层扫描(CT)前,进行腰椎穿刺。为了提高分辨力,一次给予0.5mg/kg,浓度为60%W/V的Meglumine iothalamate(‘Conray’280)。5例存活者中有4例在完全恢复后3至4周做CT复查。结果:5例病人在恶性疟急性期死亡。病例4在第二次扫描结束后几分钟内死亡,其他患者死于扫描后平均30.6小时。未发现患者视神经乳头水肿。病例5左腿有局灶
The author chose acute falciparum malaria patients with cerebral malaria, 7 males and 3 females, aged 13 to 53 years, all patients were further ruled out with virus or bacterial meningoencephalitis, hepatic encephalopathy and drug poisoning, An intravenous anti-malarial treatment. Four patients underwent intravenous dexamethasone 5 mg every 6 hours before scanning. Seven patients underwent lumbar puncture before performing computed tomography (CT). To improve resolution, Meglumine iothalamate (’Conray’ 280) at a concentration of 60% W / V was administered at 0.5 mg / kg once. Four of the five survivors underwent a CT review 3-4 weeks after complete recovery. Results: Five patients died of falciparum malaria in the acute phase. Case 4 died within a few minutes of the end of the second scan, and other patients died an average of 30.6 hours after the scan. No patient found optic nerve head edema. Case 5 left leg with focal