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病例患者男性,26岁,农民。1993年5月19日去云南省瑞丽县打工,7月16日在返重庆途中发病,表现为发热、头痛、乏力,伴有咳嗽等。沿途治疗(用药不详)无效。7月19日回到当地农村卫生站。查体温40℃,用青霉素静滴后,病情加重。7月20日到我市某区医院收入住院诊治。患者重病容,神差,面色腊黄。T39.6℃,P90次/分,R22次/分,BP13/8KPa,左上腹压痛,肝肋下1.5cm,剑下2.5cm,脾肋下触及。实验室检查:RBC5.85×10~12/L,HB155g/L,WBC3.5×10~9/L,N95％,L25％,血检疟原虫阳性,诊断为疟疾。用磷酸氯喹0.3g(基质)顿服3d,首次加倍,同时并服磷酸伯
Case patient male, 26 years old, farmer. On May 19, 1993, he went to work in Ruili County, Yunnan Province. On July 16, he returned to Chungking on the way to onset of fever, headache, fatigue and coughing. Treatment along the way (medication unknown) is invalid. July 19 returned to the local rural health station. Check body temperature 40 ℃, intravenous infusion of penicillin, the disease worsened. July 20 to a city hospital income hospital diagnosis and treatment. Patients with serious illness, God bad, looking wax yellow. T39.6 ℃, P90 beats / min, R22 beats / min, BP13 / 8KPa, left upper quadrant tenderness, liver ribs 1.5cm, swords 2.5cm, splenic rib touch. Laboratory tests: RBC5.85 × 10 ~ 12 / L, HB155g / L, WBC3.5 × 10 ~ 9 / L, N95%, L25%, blood tests Plasmodium positive diagnosis of malaria. With chloroquine phosphate 0.3g (matrix) Dayton serving 3d, for the first time double, at the same time serving phosphate primary