150例疟疾患者救治临床分析

目的探讨疟疾诊断、鉴别及临床治疗中存在的问题、特点及对策。方法对我院2001—2010年150例疟疾患者的临床资料进行回顾性分析。结果 150例疟疾患者中,确诊前误诊22例,占14.67%。多脏器功能不全涉及中枢神经、血液、消化、呼吸、肾脏及其他多个重要脏器或系统,临床症状复杂多样。治疗上应注意抗疟疾药物的选择和使用、退热治疗和激素的使用,以及水、电解质和酸碱平衡、胰岛素水平和血糖水平的监测。结论疟疾的早期诊断和鉴别在患者救治中发挥重要作用;确诊后,应关注多脏器功能受损情况,及时识别和合理治疗并发症是关键。

Treatment of 150 patients with malaria

Objective To investigate the features of malaria and the problems and countermeasures in the diagnosis,differential diagnosis and treatment of malaria.Methods Clinical data of 150 patients with malaria treated in our hospital were retrospectively analyzed.Results Among 150 patients with malaria,22 were misdiagnosed,accounting for 14.67%.Multiple organ dysfunction in-volved central nervous system,blood system,digestive system,respiratory system,kidney and other important organs or systems with diverse and complex clinical symptoms.The choice and use of antimalarial drugs,antipyretic treatment,hormone therapy and the monitoring of water,electrolyte,acid-base balance,insulin levels and blood sugar should be paid due attention in the treatment of malaria.Conclusions Early diagnosis and differential diagnosis of malaria play an important role in the treatment of patients with malaria.It is crucial to pay much attention to multiple organ damage,and timely differentiate and properly treat the complications of malaria.