现代医药卫生2025，Vol.41Issue(5)：1078-1082,5.DOI:10.3969/j.issn.1009-5519.2025.05.005
我军维和医疗分队诊治发热患者的经验与思考
Experience and thinking of our army peacekeeping medical detachment in diagnosing and treating patients with fever
摘要
Abstract
Objective To analyze the etiological distribution and clinical characteristics of febrile pa-tients treated by the peacekeeping medical detachment in the Democratic Republic of the Congo(DRC)mis-sion area,and provide reference experience for subsequent diagnosis and treatment.Methods A total of 73 medical records of peacekeeping personnel who presented with fever as the chief complaint were collected from January 2022 to January 2023 at the Southern Sector peacekeeping medical detachment in DRC.Demographic characteristics,clinical manifestations,etiological patterns,and laboratory findings were analyzed.Results Among 73 cases,59 cases were outpatients and 14 cases were inpatients.The top two groups in terms of the numbers of patient were the Pakistani peacekeeping contingent[20.55％(15/73)]and the Chinese contingent[13.70％(10/73)].Febrile cases occurred throughout the year with peaks in February,July,and December.Accompanying symptoms primarily included headache[38.36％(28/73)]and cough[28.77％(21/73)].The average body temperature was(37.91±0.75)℃,with infectious diseases predominating[94.52％(69/73)].Upper respiratory tract infections[37 cases(50.68％)]and malaria[15 cases(20.55％)]constituted the main etiologies.The white blood cell count and differential count of patients with febrile diseases infected by metavirus or parasite,such as upper respiratory tract infection,malaria,novel coronavirus infection,were with-in the normal range.The white blood cell count and neutrophil count of patients with febrile diseases infected by metabacteria,such as acute pharyngitis,tonsillitis,sepsis,perianal abscess,increased significantly.Conclusion Febrile cases in the mission area primarily stem from upper respiratory infections and malaria,predominantly occur-ring during seasonal transitions and personnel rotations.Clinical manifestations mainly involve headache and cough.Preemptive health education and infection control measures should be prioritized.Empirical treatment based on accompanying symptoms and auxiliary examinations is recommended,while subsequent preparedness should emphasize disease surveillance,targeted pharmaceutical preparations,and strategic supplies stockpiling.关键词
维和医疗分队/发热患者/诊断/治疗Key words
Peacekeeping medical detachment/Febrile patients/Diagnosis/Therapy分类
预防医学引用本文复制引用
夏安越,徐欢,徐洪强,李元靖,蒋闻,曾祥龙,苏正林,罗杰..我军维和医疗分队诊治发热患者的经验与思考[J].现代医药卫生,2025,41(5):1078-1082,5.基金项目
西藏自治区基地与人才计划项目(XZ202201JD0001G). （XZ202201JD0001G）
