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本文报道了间日疟患者有类似恶性疟并发症的一个特例,其并发症为脑型疟,弥漫性血管内凝血(DIC)和成人呼吸窘迫综合征(ARDS)。 病人30岁,女性,发热1周入院;此前2天有黄疸;24h前出现昏睡。病人已用多种抗生素治疗及输液。入院检查发现病人处于中毒和昏迷状态,体温38℃;有黄疸,前臂和面部有紫癜。腹部检查在右肋下1cm处可触及肝脏边缘,未扪及脾脏。其他检查无异常。血
This article reports a special case of malaria-like complication of malaria in patients with vivax malaria, with complications of cerebral malaria, disseminated intravascular coagulation (DIC) and adult respiratory distress syndrome (ARDS). Patient 30 years old, female, fever 1 week admission; jaundice 2 days before; drowsiness appeared 24h before. The patient has been treated with a variety of antibiotics and infusion. Admission examination found that the patient was poisoned and coma, body temperature 38 ℃; jaundice, forehead and face purpura. Abdominal examination at the right rib 1cm reach the edge of the liver, not palpable spleen. No other inspection abnormalities. blood