非洲135例疟疾回顾性分析

摘要

目的 了解非洲疟疾的临床特点、诊治方法及其转归.方法 分析135例疟疾患者的临床资料.结果 临床表现中,发热135例(占100％),其中以贫血31例(占22.96％),脾肿大27例(占20.00％),腹泻21例(占15.56％),呕吐19例(占14.07％)最为常见；其次是咳嗽17例(占12.59％),寒战7例(占5.19％)等多种症状.135例均接受青蒿素类抗疟药的综合治疗,治愈135例,无死亡病例.结论 非洲疟疾大多数是恶性疟,且发病率很高,临床表现复杂多样且不够典型；尽早诊断、及时治疗是改善本病预后的关键；青蒿素类药物是治疗疟疾安全、有效的首选药物.%Objective To understand the clinical characteristics, treatment and its outcome of African malaria Methods rnClinical data of 135 malaria patients are analyzed. Results Among the clinical manifestations, 135 cases (accounting rnfor 100%) got fever, in which there are 31 patients with anemia(accounting for 22.96%), 27 patients with splenomegaly rn(accounting for 20.00%), 21 patients with diarrhea(accounting for 15.56%), and 19 patients with vomiting(accounting rnfor 14.07%). All above are the most common clinical manifestations. Then mere are various symptoms as cough(17 patients,rnaccounting for 12.59%), chill(7 patients, accounting for 5.19%) and so on. 135 patients all accepted antimalarial rntreatment with artesunate drugs. These 135 patients were cured and no one died. Conclusion Most African malaria rnis malignant with a high mortality, and clinical manifestations are complicated and not typical. So early diagnosis and rnprompt treatment are the key to improve the disease prognosis. Artesunate drugs are safe, effective and the first choice rnto malaria treatment.