摘要
目的探讨驻比里亚利维和二级医院恶性疟患者血液检验指标的变化特点及在其恶性疟诊断中的价值方法收集2010年4～11月中国驻利维和二级医院确诊的44例恶性疟患者,分别在治疗前后不同时间对其血白细胞总数(WBC)、红细胞总数(RBC)、血红蛋白(HGB)、血小板计数(PLT)以及血清谷丙转氨酶(ALT)、谷草转氨酶(AST)及总胆同醇(TCH)等指标进行检测,同时选择44例健康体检者进行对照研究。结果治疗组患者治疗后不同时间WBC、RBC、HGB及ALT、AST水平与对照组比较均无显著性差异(P>0.05),而患者PLT指标于治疗后0d、7d及14d低于对照组(P<0.05)。治疗前44例恶性疟患者中有15例(34.1%)血清TCH低于正常值范围,且治疗后28d内均低于对照组(P<0.05)。结论血液PLT及TCH等指标的变化对恶性疟患者的诊断具有一定提示意义。
Objective To explore the changes of blood test indexs in patients with falciparum malaria in China Liberia peacekeeping level 11 hospital and their role in the diagnosis of the disease. Methods A total of 44 patients with falcipamm malaria in China Liberia peacekeeping level Ⅱ hospital who were diagnosed fi：om April to November in 2010 were observed. WBC, R.BC, HGB, PLT, ALT, AST and TCH of these patients were detected before and after treatment, and 44 healthy people were used as control group. Results WBC, RBC, HGB, PLT, ALT and AST in patients had no significant differences compared with that of the control group （P〉0.05） on different rime after treatment. The values of PLT in patients were lower than that of the control group on 0, 7 and 14 days after they were treated（P〈0.05）. Before the therapy was carried on, the values of TCH in 15 （34.1%） of 44 patients were lower than normal, and their TCH values were lower than that of the control group within 28 days after treatment. Conclusion The changes of PLT and TCH may serve as clews in the diagnosis of falciparum malaria.
出处
《热带病与寄生虫学》
2011年第4期190-192,共3页
Journal of Tropical Diseases and Parasitology
