论文部分内容阅读
典型间日疟易识别,但特殊表现的间日疟易于误诊。本文就我院1977～1980年误诊的44例分析,以便从中吸取经验教训,提高诊断水平。临床资料:1.临床表现:近年来由于预防疟疾药的广泛应用,使间日疟临床表现常不典型:(1)热型不规则:本组44例中41例热型不典型,表现不规则热26例,弛张热9例,畏寒无热3例,低热2例,稽留热1例。(2)症状不典型:本组44例均以某一系统的症状表现为主,且较突出。(3)实验室检查不支持:44例中周围血检疟原虫一次阴性14例,其中二次仍未查出者4例。有的有白细胞升高,血小板减少,尿及肝功异常。2.误诊疾病分类:误诊病主要有上呼吸道
Vivax malaria is easily identified, but special manifestations of malaria are easily misdiagnosed. This article on our hospital from 1977 to 1980 misdiagnosed 44 cases of analysis, in order to learn from the lessons to improve the diagnostic level. Clinical data: 1. Clinical manifestations: In recent years due to the widespread use of malaria drugs to prevent the clinical manifestations of Malaria are often not typical: (1) irregular heat type: 44 cases in this group of 41 cases of atypical fever, the performance is not Rules 26 cases of heat, relaxation fever in 9 cases, 3 cases of chills and fever, fever in 2 cases, missed the heat in 1 case. (2) atypical symptoms: the group of 44 cases were the symptoms of a system-based performance, and more prominent. (3) laboratory test does not support: 44 cases of peripheral blood Plasmodium a negative in 14 cases, of which 4 cases have not been found in the second. Some have leukocytosis, thrombocytopenia, abnormal urine and liver function. Misdiagnosed diseases Category: Misdiagnosis of the main upper respiratory tract