骨髓涂片诊断输入性黑热病1例

A case of imported kala-azar diagnosed with bone marrow smears

黑热病即内脏利什曼病，是由雌性白蛉传播的杜氏利什曼原虫引起。我国1950年多数地区已基本上消灭了黑热病，近年来，在新疆、甘肃、内蒙、陕西、山西和四川等6省出现当地感染的黑热病。由于该病相对少见，容易误诊，其诊断很大程度上归功于骨髓涂片找到了利杜小体。现报告1例输入性黑热病的骨髓像特征及诊断过程，

Summary Kala-azar is a rare disease at present which is hard to diagnose in the process of clinical diagnosis. This paper analyzes a case of kala-azar in the diagnostic process. The objective is to discover the role of bone mar- row smears and the precautions in the diagnosis of the disease. Check the bone marrow smears of the patients twice. Check the smears carefully to find to the original worm body. Dooley bodies were found and the patients were diagnosed as kala-azar. The patients recovered after treatment. Checking bone marrow smears is one of the powerful methods to diagnose kala-azar and other diseases alike. The smears need checking carefully to find out the worm bodies. Meanwhile,take care to embody a theoretical principle into the clinical practice and be familiar with the detailed medical conditions and history of the patients to support the diagnosis.