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本文报告接受同一供血者一单位血的3例早产儿,其中2例发生三日疟。例1和例2各为体重1,500g 30周早产和830g 27周早产的男婴,均患透明膜病,在进行其他治疗同时,接受了同一单位血。例1于输血后51天,发现贫血、肝脾肿大、中性粒细胞减少和血小板减少。当时无急性症状,于住院次日,发热至38.5℃。例2于输血后71天,出现呼吸暂停、心动徐缓、嗜睡,肝脾肿大、全血细胞减少和高胆红素血症;体温37.7℃。2例患婴周围血均查到三日疟原虫,其寄生虫血症各占1.5%和0.97%;均经口服氯喹5mg/kg/天×5天,周围血寄生虫各于服药第4和第5天转阴,各于治后3月和9月复查,疟疾
This article reports 3 preterm children receiving one unit of blood from the same donor, of whom 2 had malaria on the 3rd. Cases 1 and 2 each had 1,500 g of 30-week preterm and 830-year-old 27-week preterm infants with hyaline membrane disease and received the same unit of blood at the same time as the other treatments. Example 1 51 days after transfusion, anemia, hepatosplenomegaly, neutropenia and thrombocytopenia were found. At that time no acute symptoms, the day after hospitalization, fever to 38.5 ℃. Example 2 71 days after transfusion, apnea, bradycardia, lethargy, hepatosplenomegaly, pancytopenia and hyperbilirubinemia; body temperature 37.7 ℃. Plasmodium malariae were found in 2 cases of infants with parasitemia at 1.5% and 0.97%, respectively. All patients were given oral chloroquine 5 mg / kg / day for 5 days, Day 5 negative, each in March and September after review, malaria