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温州市3例恶性疟死亡病例均系非洲输入性病例,第1例因回国入院时临床症状严重,于2007-01-10抢救无效死亡;第2例病例在基层卫生医疗机构被误诊误治为“普通感冒”,导致病情恶化,于2011-03-05抢救无效死亡;第3例患者属“三无”人员,入院时未能及时提供病情详细信息和流行病学史,延误诊治,最终病情恶化死亡。应加强对归国人员和医务人员的健康教育培训工作,争取最佳治疗时间,以减少恶性疟死亡病例的发生。
The deaths of 3 cases of falciparum malaria in Wenzhou City were all imported cases in Africa. The first case was clinically asymptomatic due to returning home and died of rescue ineffectively on January 1, 2007. The second case was misdiagnosed and mistakenly treated in primary health care institutions as “Common cold”, leading to the deterioration of the disease, died of rescue invalid in 2011-03-05; the third patient is a “three noes” personnel, failed to provide detailed information and epidemiological history, delayed diagnosis and treatment, the final condition Deterioration of death. Health education and training should be strengthened for returnees and medical personnel for the best treatment time so as to reduce the incidence of death from falciparum malaria.