目的:分析呼和浩特市30 例输入性疟疾病人的流行病学及临床特征、化验检查、诊断及治疗情况。
方法:回顾性分析呼和浩特市30 例输入性疟疾病人的流行病学资料、临床特征、化验结果、治疗方法及治疗效
果。结果: 30 例输入性疟疾病人主要为维和人员，主要症状为寒战、高热、大汗，但症状发作缺乏周期规律性，还
有一些伴随症状。病人化验检查表现为红细胞、血红蛋白、血小板减少比较明显，白细胞基本正常。部分病人出
现肝功能的损害。血涂片均查到疟原虫。治疗主要以青蒿素衍生物类药物联合伯氨喹为最佳选择。结论: 呼和
浩特市存在有非洲输入性疟疾病例。病人主要为赴非维和男性人员。病人主要临床表现多缺乏周期规律性。
治疗主要应用青蒿素衍生物类药物联合伯氨喹为主。在呼和浩特市需要加强对本病的认识，临床医师要提高对
本病的诊断和救治水平。

Objective: To Analyze the clinical characteristics，laboratory index，diagnosis and
therapy of 30 cases of imported malaria in Hohhot．Methods:Retrospective method was used to analyze
epidemiology，clinical characteristics，laboratory index，diagnosis and therapy of 30 cases of imported
malaria in Hohhot．Results:30 imported malaria patients were peacekeepers．The main symptoms were
chills，fever，and profuse sweating． But symptoms lacked periodicity，and accompanied by some
symptoms．Laboratory testing showed that erythrocyte，hemoglobin and platelet count were decreased，the
leukocyte count is basic normal．There were some patientswith liver dysfunction．Bloodsmear to check the
malaria parasite．Artemisinin combined with primaquine were used to treat malaria．Conclusions:Huhhot
had imported malaria cases in Africa．Imported malaria patients were mainly male peacekeepers in Africa．
Clinical manifestation lacked periodicity，and accompanied by some symptoms．Artemisinin combined
with primaquine were used to treat malaria．Clinicians need to strengthen the understanding of the disease，
and impove the level of diagnosis and treatment．

R254．5

 收稿日期: 2017－01－31;修回日期: 2017－02－28
基金项目: 内蒙古科技厅科研基金项目(20120404)
作者简介: 郑文艳(1966－)，女，解放军第253 医院副主任医师，医学硕士。
通讯作者: 刘超梅，主任检验师，E－mail:fyibwangyi@ sina．com，解放军253 医院，010051