摘要
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 imoprove the diagnosis of leishmaniasis based on the clinical analysis of of leishmaniasis.Methods The data of 22 cases of leishmaniasis patients were retrospectively analyzed, including epidemiological data, clinical manifestation, laboratory examination, diagnosis, therapeutic procedures and prognosis.Results leishmaniasis has no specific clinical manifestations,The main clinical manifestations were fever, spleen and lymph node enlargement and complete blood cell decrease. All patients were effective treated with sodium pentavalent antimony gluconate(SPAG). Conclusion leishmaniasis is easily misdiagnosed. If leishmaniais is suspected, bone marrow biopsy, rk-39 strip test for visceral leishmaniasis pathogen should be done to improve the outcome. SPAG is the first choice for leishmaniasis chemotherapy.
出处
《湖南师范大学学报（医学版）》
2013年第3期88-89,93,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
黑热病
流行病学
临床特征
leishmaniasis
epidemiology
clinical characteristics
