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目的对保山市发生的1例重症恶性疟病例的发病及诊疗情况进行分析,为今后保山市治疗重症恶性疟病例提供科学依据。方法对患者的用药情况和用药前后血中原虫变化及治疗过程中血象变化情况进行比对,分析。结果患者血中原虫密度极高,血小板很少,病情危重,出现多器官功能损伤,在规范使用两次抗疟治疗和对症支持治疗后,病情恢复,出院后10 d,回访病人已痊愈。结论恶性疟患者及时诊断和治疗非常关键,如不及时治疗,容易发展成重症疟疾,甚至死亡。
Objective To analyze the incidence and diagnosis and treatment of one case of severe falciparum malaria in Baoshan City and provide a scientific basis for the treatment of severe cases of malaria in Baoshan in the future. Methods The patients’ medication and changes of protozoa in the blood before and after treatment were compared and analyzed. Results The protozoa protozoa were highly densified in the blood and there were few thrombocytopenia and critically ill patients. Multiple organ dysfunction occurred. After the two antimalarial treatments and symptomatic supportive treatment were regularized, the condition recovered. After the discharge, the patients were cured. Conclusions The timely diagnosis and treatment of patients with falciparum malaria are very critical. If not treated promptly, they may develop severe malaria and even death.