CAJ | 학술논문

目的：为了防止输入性恶性疟的误诊及漏诊，提高诊疗水平，特对输入性恶性疟的特点作一分析。方法回顾性分析该院2013年收治的2例输入性恶性疟疾患者的临床及血象和骨髓象特征。结果2例均为从非洲回国人员，回国时无不适，出现发热后当地医院仅以抗病毒及退热治疗。至该院诊治时均不发热，外周血两系血细胞减少，骨髓象增生活跃至明显活跃，幼红细胞明显增生，于外周血及骨髓象查到恶性疟原虫。结论从非洲等疟疾疫区回来的人员，如出现发热，应首先考虑输入性疟疾，应做外周血涂片，必要时做骨髓涂片查找疟原虫，有利于疾病的诊断及鉴别诊断。
목적：위료방지수입성악성학적오진급루진，제고진료수평，특대수입성악성학적특점작일분석。방법회고성분석해원2013년수치적2례수입성악성학질환자적림상급혈상화골수상특정。결과2례균위종비주회국인원，회국시무불괄，출현발열후당지의원부이항병독급퇴열치료。지해원진치시균불발열，외주혈량계혈세포감소，골수상증생활약지명현활약，유홍세포명현증생，우외주혈급골수상사도악성학원충。결론종비주등학질역구회래적인원，여출현발열，응수선고필수입성학질，응주외주혈도편，필요시주골수도편사조학원충，유리우질병적진단급감별진단。
Objective To prevent misdiagnosis and missed diagnosis of imported malaria ,enhance the accuracy of diagnosis by analyzing characteristics of imported malaria .Methods The clinical ,hemogram and myelogram fea‐tures of two patients with imported falciparum malaria were analyzed retrospectively .Results Two patients both were staff returning from Africa ,firstly without discomfort .When they got a fever ,only treated with the anti‐viral and antipyretic in local hospitals .When they came to Union Hospital ,they had no fever ,but peripheral blood cells were reduced ,bone marrow proliferated actively to significant actively ,young red blood cell proliferated significantly , the malaria parasite Plasmodium falciparum were checked out in peripheral blood and bone marrow at end .Conclusion If person backing from malaria endemic areas such as Africa get a fever ,imported malaria should be considered firstly .A peripheral blood smear and a bone marrow smear should be used to look for Plasmodium .