1例输入性恶性疟疾调查报告  

The Report of An Imported Falciparum Malaria Case

作　　者：孙长喜[1] 彭勇 范本君[1] 阮英勇 冯永红 杜飞[1] 王兴华 SUN Chang-xi;PENG Yong;FAN Ben-jun;RUAN Ying-yong;FENG Yong-hong;DU Fei;WANG Xing-hua(Zhushan Center for Disease Control and Prevention,Zhushan,Hubei,442200,China)

机构地区：[1]竹山县疾病预防控制中心,湖北竹山442200 [2]竹山县人民医院,湖北竹山442200 [3]十堰市疾病预防控制中心,湖北十堰442000 [4]竹山县妇幼保健院,湖北竹山442200

出　　处：《中国初级卫生保健》2023年第7期96-97,110,共3页Chinese Primary Health Care

摘　　要：目的:掌握输入性疟疾病例的临床特点和流行病学特征,为制定针对性防控策略提供参考。方法:2023年2月湖北省竹山县确诊1例输入性恶性疟疾病例。2023年3月1—3日,查阅病例档案和流调资料,并访谈患者,对收集的相关资料进行流行病学分析。结果:患者因不明原因发热,于2023年2月20日到竹山县人民医院发热门诊就诊。患者自述间断发热,伴寒战、头晕、浑身酸痛、纳差、乏力7 d,体温高时达39.5℃,伴意识模糊、表情淡漠、小便失禁,其他生命体征平稳。血红细胞3.91×10^(12)/L,血红蛋白115 g/L,血小板总数32×10^(9)/L,超敏C反应蛋白94.85 mg/L;尿红细胞17/ul,白细胞88/ul,血涂片镜检找到恶性疟原虫环状体。规范使用抗疟药物双氢青蒿素哌喹片、磷酸伯氨喹和青蒿琥酯注射液,并行抗感染等治疗后,患者很快痊愈出院。结论:应加强流动人员疟疾防治知识的宣传,对前往非洲等疟疾流行区的打工者提出防疟警示,以增强其自我防护能力。加强疟疾流行区返乡及入境人员随访和疟原虫检查,及时发现和管理传染源,巩固消除疟疾成果。OBJECTIVE To master the clinical and epidemiological characteristics of imported malaria cases and provide reference for formulating targeted prevention and control strategies.METHODS In February 2023,a case of imported falciparum ma⁃laria was confirmed in Zhushan County,Hubei province.From 1st to 3rd of March in 2023,the case files and flow data were consult⁃ed,and patients were interviewed,and epidemiological analysis of the collected relevant data was conducted.RESULTS Intermittent fever,accompanied by chills,dizziness,body soreness,anorexia,and fatigue for 7 days.The body temperature reaches 39.5℃when it was high,accompanied by blurred consciousness,apathy,incontinence,and other vital signs were stable.Blood red blood cell 3.91×10^(12)/L,hemoglobin 115g/L,total platelet count 32×10^(9)/L,hypersensitive C-reactive protein 94.85mg/L;Urine red blood cell 17/ul,white blood cell 88/ul,blood smear microscopic examination found plasmodium falciparum ring.After standardized use of the antimalarial drugs dihydroartemisinin piperaquine tablets,primaquine phosphate and artesunate injection,combined with anti-in⁃fection treatment,they recovered quickly and discharged from hospital.CONCLUSION The patient is an imported falciparum malaria case.It is necessary to strengthen the propaganda of malaria prevention and control knowledge among migrant workers,and give an⁃ti-malaria warnings to migrant workers who go to malaria endemic areas such as Africa,so as to enhance their self-protection abili⁃ty.It will strengthen the follow-up of people returning to and entering the country from malaria endemic areas and the inspection of malaria parasites,and timely identify and manage the source of infection,so as to consolidate the results of malaria eradication.

关 键 词：输入性 恶性疟疾 调查分析 

分 类 号：R197[医药卫生—卫生事业管理]