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在疟疾流行区或暴发流行时,最凶险的是脑型疟,其病死率高。因此,警惕本病,及时诊断治疗,对降低死亡率极为重要。现将我院1960年以来收治的28例,结合文献复习,就临床几个问题讨论如下。一、诊断依据 (1)发生于流行区,起病急,抽搐,嗜睡,谵妄或昏迷等,能排除其它疾病者。(2)发冷发热,大汗,头昏头痛等疟疾典型症状及/或有不同程度的中枢神经系统症状及体征。(3)实验室检查:外周血液镜检找到疟原虫;脑脊液检查:除脑压
In the malaria endemic areas or outbreaks, the most dangerous is cerebral malaria, its high mortality. Therefore, vigilance of the disease, timely diagnosis and treatment, to reduce mortality is extremely important. Now in our hospital since 1960, admitted to 28 cases, combined with the literature review, the clinical discussion of several issues are as follows. First, the diagnosis based on (1) occurred in endemic areas, acute onset, convulsions, drowsiness, delirium or coma, etc., can rule out other diseases. (2) chills and fever, sweating, dizziness, headache and other typical symptoms of malaria and / or have varying degrees of central nervous system symptoms and signs. (3) laboratory tests: peripheral blood microscopy found malaria parasites; cerebrospinal fluid examination: In addition to brain pressure