【正文】
等,多表現(xiàn)為持續(xù)高熱、抽搐、昏迷、重癥貧血、腎功能衰竭等,來勢兇猛,若不能及時診治,死亡率很高。 實驗診斷 Laboratory diagnosis 1. 病原檢查 ( 1) 血膜染色鏡檢 最好一張玻片上同時制作厚、薄兩種血膜,瑞氏染色、鏡檢 。 選擇適宜的采血時間:惡性瘧在發(fā)作開始時,間日瘧在發(fā)作后數(shù)小時至 10余小時采血。 ? Thin film ? Thick film Question: Which stages are there in the blood film of . or . ? ( 2)血沉棕黃層定量分析法 (了解) 免疫學(xué)診斷(了解) 循環(huán)抗體檢測 間接熒光抗體實驗、 酶 聯(lián)免疫吸附實驗 循環(huán)抗體檢測 放射免疫實驗、 夾心法酶聯(lián)免疫吸附實驗 分子生物學(xué)技術(shù) PCR、 PROBE 治療 Treatment ?Chlorquine 、 quinine、artemisinin and artemetherantierythrocytic stage drugs. (question: Which stage of plasmodium can these drugs kill?) ?Primaquine and pyrimethamine antiexoerythrocytic stage drugs. primaquine(antiexoerythrocytic amp。 gametecyte) Prevention ?Chemoprophylaxis Chloroquine / pyrimethamine used for prophylaxis of malaria Chemotherapy: 1 week before entry into the endemic area 。 for 4 weeks after returning from the endemic area. ?Mosquito control (1). Reconstruction of environment: eradicate the breeding places of moquitoes. (2). Spry insecticides: DDVP and so on. (3). Use mosquito s, screen, or mosquito repellents to protect the person from mosquito bites.