中国实用内科杂志2011，Vol.31Issue(6)：448-450,3.
危重症疟疾25例误诊分析
Malaria misdiagnosed:an analysis of critical cases
宋蕊 1韩乐强 2卢联合 1蒋荣猛 1徐艳利 1陈志海1
作者信息
- 1. 首都医科大学北京地坛医院感染二科,北京,100866
- 2. 大连市传染病院,辽宁,大连,116001
- 折叠
摘要
Abstract
Objective To explore the factors related to misdiagnosis of critical malaria. Methods From 2000 to 2010,the clinical data of 25 patients with critical malaria in Beijing Ditan Hospital were retrospectively analyzed. Results All of these 25 patients came from malaria-endemic areas outside Beijing, among whom the mortality rate was 8％. Notably,36％ of the patients were hospitalized due to abnormal liver function and more than 20％ due to respiratory infections by primary impression. The positive rate of initial blood smear was 60％.The patients were given Artemisinin-based combination chemotherapy. Conclusion Febrile patients should be investigated for epidemiological history because critical malaria could be easily misdiagnosed. Repeated blood smears are advisable if malaria is suspected. Early diagnosis,early treatment and artemisinin-based combination chemotherapy may contribute to lower mortality rate in patients with critical malaria.关键词
危重症疟疾/发热/青蒿素Key words
critically ill malaria/ fever/ artemisinin分类
医药卫生引用本文复制引用
宋蕊,韩乐强,卢联合,蒋荣猛,徐艳利,陈志海..危重症疟疾25例误诊分析[J].中国实用内科杂志,2011,31(6):448-450,3.
