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为了解对脑型疟的处理情况,收集分析了肯尼亚Nakuru省医院1988年1～4月间作“脑型疟”处理的37份病历。所有病人的血涂片均发现恶性疟原虫,并有以下症状或体征的一项或多项:精神错乱、昏迷、多语和脑膜刺激症状。半数以上的病人有精神错乱、发热和头痛。最常见的体征为丧失定向能力,其次为脑膜刺激症状。有16%的病人无发热。初期的诊断各异,急性精神病占11%,抗氯喹疟疾占80%。鉴于世界卫生组织认为除
To understand the treatment of cerebral malaria, 37 medical records of “cerebral malaria” treated during January-April 1988 in Nakuru provincial hospital in Kenya were collected and analyzed. Plasmodium falciparum was found on all patients’ blood smears and had one or more of the following symptoms or signs: delirium, coma, polygamy and meningeal irritation. More than half of patients have mental disorders, fever and headaches. The most common signs of loss of orientation, followed by meningeal irritation. 16% of patients have no fever. The initial diagnosis varies, acute mental illness accounted for 11%, anti-chloroquine malaria accounted for 80%. In view of the World Health Organization think