CAJ | 학술논문

目的：分析22例黑热病患者临床资料，提高黑热病诊断水平。方法：回顾性分析22例黑热病的流行情况、临床表现、实验室检查、诊治及转归。结果：黑热病无特异的临床表现，发热、肝脾淋巴结肿大、全血细胞减少为黑热病的主要临床表现。葡萄糖酸锑治疗有效。结论：黑热病误诊率较高。骨髓涂片或活检，查找立什曼原虫，结合39ku蛋白重组抗原(rk39)检测，能正确作出诊断。葡萄糖酸锑治疗有效。
목적：분석22례흑열병환자림상자료，제고흑열병진단수평。방법：회고성분석22례흑열병적류행정황、림상표현、실험실검사、진치급전귀。결과：흑열병무특이적림상표현，발열、간비림파결종대、전혈세포감소위흑열병적주요림상표현。포도당산제치료유효。결론：흑열병오진솔교고。골수도편혹활검，사조립십만원충，결합39ku단백중조항원(rk39)검측，능정학작출진단。포도당산제치료유효。
Objective To imoprove the diagnosis of leishmaniasis based on the clinical analysis of of leish-maniasis.Methods The data of 22 cases of leishmaniasis patients were retrospectively analyzed, including epi-demiological data, clinical manifestation, laboratory examination, diagnosis, therapeutic procedures and prognosis. Results leishmaniasis has no specific clinical manifestations,The main clinical manifestations were fever, spleen and lymph node enlargement and complete blood cell decrease. All patients were effective treated with sodium pentavalent antimony gluconate (SPAG). Conclusion leishmaniasis is easily misdiagnosed. If leishmaniais is sus-pected, bone marrow biopsy, rk-39 strip test for visceral leishmaniasis pathogen should be done to improve the outcome. SPAG is the first choice for leishmaniasis chemotherapy.