Oetliker O H
Infusionsther Klin Ernahr. 1975 Feb;2(1):18-23.
The therapeutic measures in the treatment of water, electrolyte and acid-base disturbances is based on the utilization of renal regulatory mechanisms. The treatment in infancy and childhood differs from that in adulthood mainly by the fact that kidney function of the small human being is quantitatively more limited due to its developmental status. Quantity and quality of kidney function in infancy and childhood are discussed. The capacity of the kidney to regulate the amount and composition of body fluids in this age group is less broad. In treating disturbances of water, electrolyte and acid-base metabolism it is, therefore, important to make use of simple diagnostic aids to assess individual renal function. A conceptual scheme for treatment is presented.
水、电解质及酸碱平衡紊乱的治疗措施基于对肾脏调节机制的利用。婴幼儿及儿童期的治疗与成人期不同，主要在于由于其发育状态，小儿的肾功能在数量上更为有限。本文讨论了婴幼儿及儿童期肾功能的数量和质量。该年龄组肾脏调节体液量及成分的能力较窄。因此，在治疗水、电解质及酸碱代谢紊乱时，利用简单的诊断辅助手段评估个体肾功能很重要。本文提出了一个治疗概念框架。
