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目的:分析22例黑热病患者临床资料,提高黑热病诊断水平。方法:回顾性分析22例黑热病的流行情况、临床表现、实验室检查、诊治及转归。结果:黑热病无特异的临床表现,发热、肝脾淋巴结肿大、全血细胞减少为黑热病的主要临床表现。葡萄糖酸锑治疗有效。结论:黑热病误诊率较高。骨髓涂片或活检,查找立什曼原虫,结合39ku蛋白重组抗原(rk39)检测,能正确作出诊断。葡萄糖酸锑治疗有效。
Objective: To analyze the clinical data of 22 cases of kala-azar and improve the diagnosis of kala-azar. Methods: Retrospective analysis of 22 cases of kala-azar prevalence, clinical manifestations, laboratory tests, diagnosis and treatment and prognosis. Results: No specific clinical manifestations of kala-azar, fever, liver and spleen lymph nodes, pancytopenia as the main clinical manifestations of kala-azar. Antimony gluconate treatment effective. Conclusion: The rate of misdiagnosis of kala-azar is high. Bone marrow smear or biopsy, find Leishmania, combined with 39ku protein recombinant antigen (rk39) test, can correctly make a diagnosis. Antimony gluconate treatment effective.