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目的:了解大连市输入性疟疾流行情况,为疟疾防治工作提供科学依据。方法:收集大连市2013年输入性疟疾病例资料,以流行病学的方法对疟疾疫情概况、时间分布、人群分布、地区分布、输入地来源、发病类型、诊断依据、临床症状和诊治情况进行统计分析。结果:2013年共检出疟疾10例,均为非洲输入性病例,检出率为0.149/10万,以恶性疟为主。其发病无明显的季节性,患者全部为男性,大部分疟疾病例居住在农村,且文化程度较低。临床表现以高热和寒战为主要症状,热型以持续发热为主。10例病例中,发病时间到初诊时间最长20 d,最短0 d,平均5.4 d;初诊到确诊时间最长14 d,最短0 d,平均3.7 d。初诊为个体诊所的2例,被误诊为其他疾病的5例。治疗均采用全程足量蒿甲醚治疗,除1例患者死于脑型疟外,其余患者均治愈。结论:大连市疟疾病例均为输入性病例,应加强疟疾知识培训,强化医务人员及时发现和有效处理疟疾的技能,普及疟疾防治知识。
Objective: To understand the prevalence of imported malaria in Dalian and to provide a scientific basis for malaria control. Methods: Data of malaria cases of imported malaria in Dalian were collected in 2013, and epidemiological methods were used to analyze malaria epidemic situation, time distribution, population distribution, geographical distribution, sources of input, incidence type, diagnosis basis, clinical symptoms and diagnosis and treatment analysis. Results: In 2013, 10 cases of malaria were detected, all of which were imported from Africa. The detection rate was 0.149 / 100 000, mainly of P. falciparum. The incidence was not significantly seasonal, all patients were male, most of the malaria cases live in rural areas, and a low level of education. Clinical manifestations of high fever and chills as the main symptom, the main type of fever to sustained fever. Among the 10 cases, the onset time was up to 20 days and the shortest was 0 days, with an average of 5.4 days. The first diagnosis was up to 14 days and the shortest was 0 days with an average of 3.7 days. Two cases of newly diagnosed individual clinics were misdiagnosed as 5 cases of other diseases. All the treatments were treated with adequate artemether, except 1 patient died of cerebral malaria, and the remaining patients were cured. Conclusion: All cases of malaria in Dalian are imported cases. Knowledge training on malaria should be strengthened to enhance the skills of medical staffs to detect and effectively treat malaria in a timely manner and popularize malaria prevention and control knowledge.