乌干达276例疟疾诊治回顾分析

发布时间：2018-06-13 14:47

  本文选题：乌干达疟疾 + 临床特点　； 参考：《世界最新医学信息文摘》2016年66期

【摘要】：目的了解乌干达疟疾的临床特点及诊治方法,提高在乌干达工作的医务人员对疟疾的认识及诊治疟疾的水平。方法作为云南援助乌干达中乌友好医院的急诊内科医生,收集276例确诊疟疾的病例,回顾性分析临床发病及诊治。结果 276例患者经正规、足疗程使用联合抗疟原虫药物及综合治疗后,发病后3-10天临床症状消失,体温下降,稳定,在正常范围内,头痛、乏力、出汗,肌肉关节疼痛消失、腹泻患者大便正常,连续3次复查末梢血中疟原虫消失。无一例死亡或出现严重并发症。结论乌干达疟疾大多数是恶性疟疾,且发病率极高,临床表现复杂多样,症状不典型,发热无规则。在乌干达工作的医务人员必须对此病有充分的认识。早期及时准确的诊断,合理的诊断性抗疟原虫治疗,确诊后最佳药物治疗方案,是改善本病预后的关键。以青蒿素为基础的联合药物治疗,是最佳的治疗方案。
[Abstract]:Objective to understand the clinical characteristics, diagnosis and treatment of malaria in Uganda, and to improve the understanding of malaria and the level of diagnosis and treatment of malaria among the medical staff working in Uganda. Methods 276 cases of malaria were collected and analyzed retrospectively. Results the clinical symptoms disappeared, body temperature decreased, stable, headache, fatigue, sweating and muscle joint pain disappeared 3 to 10 days after treatment. The stool of diarrhea patients was normal and the Plasmodium disappeared in peripheral blood for 3 times. There was no death or serious complication. Conclusion Uganda malaria is mostly falciparum malaria with high incidence, complicated clinical manifestations, atypical symptoms and irregular fever. Medical staff working in Uganda must be fully aware of the disease. The key to improve the prognosis of the disease is to make early and accurate diagnosis, reasonable diagnostic anti-Plasmodium treatment, and the best drug treatment scheme after diagnosis. Artemisinin-based combined drug therapy is the best treatment.
【作者单位】： 中国援助乌干达医疗队 云南省第二人民医院急诊内科;
【分类号】：R531.3
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本文编号：2014381