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目的调查分析恶性疟病例感染来源和死亡原因。方法收集病例临床资料,调查病例疟疾病史、诊治经过,复核病人血片并计数疟原虫密度,了解病人原籍县疟疾流行和防控情况。结果患者有明确的非洲居住史,驻地为疟疾流行区,从国外返乡后发病,血检恶性疟原虫阳性;原籍资源县2000-2011年未发现本地感染疟疾病例,推测两例恶性疟均为国外感染在本地发病;患者耽误就诊时间和就诊后不能及时确诊治疗是死亡的重要原因之一。结论早期诊断和治疗是防止输入性疟疾死亡的重要措施。
Objective To investigate the source of the infection of falciparum malaria cases and the causes of death. Methods The clinical data of cases were collected, the history of malaria was investigated, the diagnosis and treatment were followed, the blood samples of patients were reviewed, the density of malaria parasites was counted, and the malaria epidemic and prevention and control of the patients were analyzed. Results The patient had a definite history of living in Africa. The resident was a malaria endemic area. After returning from abroad, the disease developed and the blood test was positive for Plasmodium falciparum. No cases of local malaria infection were found in 2000-2011, a county of natural origin. Foreign infection in the local disease; patients delayed treatment time and treatment can not be timely diagnosis and treatment is one of the important causes of death. Conclusion Early diagnosis and treatment are important measures to prevent the death of imported malaria.