联合国驻刚果(金)维和部队8例疟疾病例流行病学调查和防治对策  

The epidemiological investigation on eight malaria cases of peacekeeping force in the Democratic Republic of Congo

作　　者：田华[1] 徐英[2] 李凯 何江[4] 郭芳 邓运典 TIAN Hua;XU Ying;LI Kai;HE Jiang;GUO Fang;DENY Yundian(Xinjiang Military Command Area,CDC,Urumqi,Xinjiang 830011,China)

机构地区：[1]新疆军区疾病预防控制中心中心实验室,新疆乌鲁木齐830011 [2]新疆军区总医院神经外科,新疆乌鲁木齐830011 [3]新疆军区总医院检验科,新疆乌鲁木齐830011 [4]新疆军区总医院临床医学研究所,新疆乌鲁木齐830011 [5]新疆军区总医院妇产科,新疆乌鲁木齐830011 [6]新疆军区总医院消化内科,新疆乌鲁木齐830011

出　　处：《中国热带医学》2019年第10期1001-1003,共3页China Tropical Medicine

摘　　要：目的通过对联合国驻刚果(金)维和部队疟疾病例的流行病学调查,掌握维和部队疟疾流行现状及特点,为维和部队疟疾的预防控制提供依据。方法对前来就诊的疟疾疑似病人和不明原因发热者采用厚膜血液涂片和快速检测试纸条进行检测。结果联合国驻刚果(金)稳定特派团中国二级医院2018年11月8日共发现8例疟疾患者,均为男性,采用厚膜血液涂片和快速检测试纸条进行检测均为阳性。流行病学调查结果显示,8例患者均有在原始森林里被蚊虫叮咬史。5例为初发病例,3例为复发病例。8例患者就诊时体温均超过38℃,并出现畏寒、发热、大汗等典型的疟疾症状,3例患者出现脾肿大和贫血症状,患者均无并发症出现。8例患者首日给予蒿甲醚320mg肌注,布洛芬缓释片或安林巴比妥注射液退热;第2~4天蒿甲醚160mg肌注,同时服用复方双氢青蒿素片2片(0、6、24、48h共8片),至痊愈,治愈率100%。结论驻刚果(金)维和部队应加强疾病监测,严格落实环境消毒和个人防护,广泛开展疟疾有关知识的宣传。Objective To investigate the prevalence and characteristics of malaria in peacekeeping force in the Democratic Republic of Congo(DRC),and to provide evidence for the prevention and control of malaria in peacekeeping troops.Methods Blood smear was used to detect Plasmodium in patients with suspected malaria and fever.Results 8 malaria patients,all male,were found in the levelⅡhospital of China on November 8,2018.The result of epidemiological investigation showed that all the 8 patients had a history of mosquito bites in the primeval forest.Five cases were initial and three were recurrent.Eight patients see a doctor when temperature more than 38℃,and typical symptoms of malaria such as chills fever,sweating,etc.,3 patients had splenomegaly and anemia symptoms.All the 8 patients had no complications.8 patients were given an Artemether 320 mg muscle method,on the first day injection,and Ibuprofen or Aminophenazone to reduce fever.In the second,third,fourth days,160 mg Artemether muscle injection,and 2 tablets of compound dihydroartemisinin tablets(0,6,24,48 h)were taken at the same time,the cure rate was 100%.Conclusion The peacekeeping force in DRC should strengthen disease surveillance,strictly implement environmental disinfection and personal protection,and widely spread knowledge about malaria.

关 键 词：维和部队 疟疾 流行病学 防治 

分 类 号：R531.3[医药卫生—内科学]