温州市温州市3例输入性恶性疟死亡病例报告

Report of three death cases of imported falciparum malaria in Wenzhou City

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 three death cases of falciparum malaria in Wenzhou City were all imported from Africa. One patient died on 10 January 2007 because of severe clinical symptoms after hospitalization. The second case was initially misdiagnosed as influenza in primary health and medical institution. The patient＇s condition quickly worsened and died of Plasmodium falciparum infection on 5 March 2011. The third patient belonged to ＂non-identity＂ person, and there were no detailed information and epidemiological history on admission, which resulted in the delayed diagnosis, disease exacerbation and death. In conclusion, the health education should be provided to the people who return from Africa and also to medical workers in order to reduce the mortality of falciparum malaria.