高原虫血症是引起疟疾死亡的重要因素。换血作为疟疾化疗的辅助疗法可快速降低原虫血症。因此,有人建议以该辅助疗法治疗重症疟疾。本文报道了采用奎宁和奎宁+换血两种方法治疗50例重症疟疾的情况,并对结果进行了比较。 50例疟疾病人均符合一个或多个WHO关于重症疟疾的标准。其中脑型疟15例,有意识障碍者19人,惊厥19人,黄疸21人,严重贫血6人,肾功能不全18人和低血糖6 Plateau helminthism is an important factor in the death of malaria. Transfusion as an adjunctive therapy to malaria chemotherapy can rapidly reduce parasitemia. Therefore, it is suggested that this adjuvant therapy be used to treat severe malaria. This article reports the use of quinine and quinine + transfusion two methods of treatment of 50 cases of severe malaria, and the results were compared. All 50 malaria patients met one or more WHO criteria for severe malaria. Including cerebral malaria in 15 cases, 19 people with impaired consciousness, 19 convulsions, 21 jaundice, severe anemia in 6, renal insufficiency in 18 and hypoglycemia 6