查詢結果分析
相關文獻
- Imported Malaria in Southern Taiwan form 1991 to 2002: A Single Hospital's Experience
- 構築南臺灣的電影夢
- Seroepidemiology of Hepatitis C Virus Infection Among Drug Abusers in Southern Taiwan
- Epidemiological Study of Human Salmonellosis during 1991-1996 in Southern Taiwan
- 南臺灣水資源的供需管理與調配--兼談美濃水庫興建工程預算之編列
- 1998年南臺灣腸病毒疫情分析
- 永遠矮化發展的悲情南臺灣?
- 3-D AVO Processing and Application to Offshore Southern Taiwan
- 基督長老教會在南臺灣的傳教與擴展1865-1945
- 南部生猛的當代藝術圈
頁籤選單縮合
題名 | Imported Malaria in Southern Taiwan form 1991 to 2002: A Single Hospital's Experience=1991-2002年南臺灣境外移入型瘧疾:單一醫院之臨床經驗 |
---|---|
作者 | 唐景俠; 陳建良; 柯文謙; 莊佳璋; Tang, Jing-shia; Chen, Chien-liang; Ko, Wen-chien; Chuang, Chia-chang; |
期刊 | The Kaohsiung Journal of Medical Sciences |
出版日期 | 20030800 |
卷期 | 19:8 2003.08[民92.08] |
頁次 | 頁398-405 |
分類號 | 415.2901 |
語文 | eng |
關鍵詞 | 南臺灣; 境外移入型瘧疾; 熱帶瘧; 間日瘧; 腦性瘧; Imported malaria; Southern Taiwan; Plasmodium falciparum; Plasmodium vivax; Cerebral malaria; |
中文摘要 | 瘧疾目前仍是世界上重要的公衛問題,也是大部分熱帶及亞熱帶國家常見的傳染病。在 1965 年前,台灣曾是高度流行的疫區,而現今,台灣大部分罹患瘧疾的報告皆屬於境外移入型瘧疾。本文之目的在提出台灣南部某一醫學中心從 1991 年 1 月至 2002 年 6 月的臨床經驗並回顧相關文獻。材料與方法:藉由回顧與探討南部某大學附設醫院部求診的瘧疾患者之病歷,所有診斷皆依據陽性血液抹片檢查判定,並詳細的探討個案之病史,其中包括旅遊過的國家、發病症狀和選用的治療藥物。結果:共收錄 17 個病例(6 位女性、11 位男性,平均年齡 32.3 ± 11.8 歲),6 位感染熱帶瘧(P. falciparum)、8 位感染間日瘧(P. vivax)、2 位合併感染熱帶瘧與間日瘧,以及 1 位未知感染類型的患者。患有熱帶瘧的 5 位台灣人都是在非洲和印尼受到感染,而患有間日瘧的 4 位台灣人是於東南亞及大洋洲被感染。發燒和畏寒仍是主要臨床症狀,治療熱帶瘧的藥物有奎寧(quinine)、四環黴素(doxycyclin/tetracycline)和青蒿琥酯(artesunate,若併發腦性瘧疾則合併使用此藥物),治療間日瘧的藥物有克羅奎寧(chloroquine)和普來馬奎寧(primaquine)。結論:對任何曾到過疫區且具疑似症狀的患者存有高度的懷疑是很重要的。錯誤的診斷和不適當的治療將導致此疾病的惡化及死亡率增加。 |
英文摘要 | Malaria, a major public health problem worldwide, is a predominant infectious disease in most tropical and subtropical countries. Before 1965, Taiwan was a hyperendemic area, but most cases are now imported. We present our experience of dealing with various malaria infections. Charts of malaria patients visiting university hospitals in southern Taiwan between January 1991 and June 2002 were available for review. All diagnoses were made by positive blood smear and detailed history that included countries visited, paroxysm of symptoms, and medical treatment. Seventeen patients, 6 women and 11 men (mean age, 32.3 ± 11.8 years), were enrolled. Six were infected with Plasmodium falciparum, eight with Plasmodium vivax, two with a combination of P. falciparum and P. vivax, and one with an unidentified infection. All Taiwanese patients infected with P. falciparum (n = 5) contracted the disease in Africa or Indonesia. All Taiwanese patients infected with P. vivax (n = 4) contracted the disease in Southeast Asia or Oceania. Fever and chills were the leading symptoms of malaria. P. falciparum infection was treated with quinine and doxycycline/tetracycline, with the addition of artesunate for cerebral malaria. P. vivax infection was treated with chloroquine and primaquine. Maintaining a high degree of suspicion in patients with a history of travel to malaria-endemic areas is the major cornerstone of malaria diagnosis. Erroneous diagnosis and improper treatment leads to greater morbidity and even mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。