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

【摘要】：目的了解烏干達瘧疾的臨床特點及診治方法,提高在烏干達工作的醫(yī)務人員對瘧疾的認識及診治瘧疾的水平。方法作為云南援助烏干達中烏友好醫(yī)院的急診內科醫(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。結果 276例患者經正規(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,頭痛、乏力、出汗,肌肉關節(jié)疼痛消失、腹瀉患者大便正常,連續(xù)3次復查末梢血中瘧原蟲消失。無一例死亡或出現(xiàn)嚴重并發(fā)癥。結論烏干達瘧疾大多數是惡性瘧疾,且發(fā)病率極高,臨床表現(xiàn)復雜多樣,癥狀不典型,發(fā)熱無規(guī)則。在烏干達工作的醫(yī)務人員必須對此病有充分的認識。早期及時準確的診斷,合理的診斷性抗瘧原蟲治療,確診后最佳藥物治療方案,是改善本病預后的關鍵。以青蒿素為基礎的聯(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】： 中國援助烏干達醫(yī)療隊 云南省第二人民醫(yī)院急診內科;
【分類號】：R531.3
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本文編號：2014381