本文選題：烏干達(dá)瘧疾 + 臨床特點(diǎn)��； 參考：《世界最新醫(yī)學(xué)信息文摘》2016年66期

【摘要】：目的了解烏干達(dá)瘧疾的臨床特點(diǎn)及診治方法,提高在烏干達(dá)工作的醫(yī)務(wù)人員對(duì)瘧疾的認(rèn)識(shí)及診治瘧疾的水平。方法作為云南援助烏干達(dá)中烏友好醫(yī)院的急診內(nèi)科醫(yī)生,收集276例確診瘧疾的病例,回顧性分析臨床發(fā)病及診治。結(jié)果 276例患者經(jīng)正規(guī)、足療程使用聯(lián)合抗瘧原蟲藥物及綜合治療后,發(fā)病后3-10天臨床癥狀消失,體溫下降,穩(wěn)定,在正常范圍內(nèi),頭痛、乏力、出汗,肌肉關(guān)節(jié)疼痛消失、腹瀉患者大便正常,連續(xù)3次復(fù)查末梢血中瘧原蟲消失。無一例死亡或出現(xiàn)嚴(yán)重并發(fā)癥。結(jié)論烏干達(dá)瘧疾大多數(shù)是惡性瘧疾,且發(fā)病率極高,臨床表現(xiàn)復(fù)雜多樣,癥狀不典型,發(fā)熱無規(guī)則。在烏干達(dá)工作的醫(yī)務(wù)人員必須對(duì)此病有充分的認(rèn)識(shí)。早期及時(shí)準(zhǔn)確的診斷,合理的診斷性抗瘧原蟲治療,確診后最佳藥物治療方案,是改善本病預(yù)后的關(guān)鍵。以青蒿素為基礎(chǔ)的聯(lián)合藥物治療,是最佳的治療方案。
[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.
【作者單位】： 中國援助烏干達(dá)醫(yī)療隊(duì) 云南省第二人民醫(yī)院急診內(nèi)科;
【分類號(hào)】：R531.3
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本文編號(hào)：2014381