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两种静脉补液溶液用于霍乱和非霍乱性腹泻的评估。

Evaluation of two intravenous rehydration solutions in cholera and non-cholera diarrhoea.

作者信息

Rahaman M M, Majid M A, Monsur K A

出版信息

Bull World Health Organ. 1979;57(6):977-81.

PMID:119582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2395861/
Abstract

A clinical trial was carried out with 126 male patients over 2 years of age suffering from diarrhoea requiring intravenous rehydration, 80 of the patients suffering from cholera and 46 from non-cholera diarrhoea. A new "diarrhoea treatment solution" (DTS) containing sodium at a concentration of 118 mmol/litre and glucose at 44 mmol/litre was compared with the usual Dacca intravenous solution (DS) which has a sodium concentration of 133 mmol/litre and contains no glucose. The other constituents and their concentrations were the same in both solutions. All the patients responded well clinically and made an uneventful recovery. Oral water intake measured during the first 24 h was higher in the group receiving the DS. This group also excreted a significantly higher quantity of sodium in the urine. A significant fall in the level of blood glucose from the admission values occurred in both the groups; the fall was relatively less in the DTS group, this solution containing 44 mmol of glucose per litre. Further work is required to find the optimum concentration of glucose in the solution for infants and young children.

摘要

对126名2岁以上因腹泻需要静脉补液的男性患者进行了一项临床试验,其中80名患者患有霍乱,46名患有非霍乱性腹泻。将一种新的“腹泻治疗溶液”(DTS)与常用的达卡静脉溶液(DS)进行比较,DTS中钠浓度为118毫摩尔/升,葡萄糖浓度为44毫摩尔/升,而DS钠浓度为133毫摩尔/升且不含葡萄糖。两种溶液的其他成分及其浓度相同。所有患者临床反应良好,康复过程顺利。接受DS的组在前24小时内测得的口服水量更高。该组尿液中钠的排泄量也明显更高。两组患者的血糖水平均较入院时显著下降;DTS组下降相对较少,该溶液每升含有44毫摩尔葡萄糖。需要进一步开展工作以确定该溶液中适合婴幼儿的葡萄糖最佳浓度。

相似文献

1
Evaluation of two intravenous rehydration solutions in cholera and non-cholera diarrhoea.两种静脉补液溶液用于霍乱和非霍乱性腹泻的评估。
Bull World Health Organ. 1979;57(6):977-81.
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Rice-based oral rehydration solution decreases the stool volume in acute diarrhoea.大米制成的口服补液溶液可减少急性腹泻时的粪便量。
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Standard WHO-ORS versus reduced-osmolarity ORS in the management of cholera patients.在霍乱患者管理中标准的世界卫生组织口服补液盐与低渗口服补液盐的比较。
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Does oral rehydration therapy alter food consumption and absorption of nutrients in children with cholera?口服补液疗法会改变霍乱患儿的食物摄入量和营养吸收情况吗?
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[Comparative study of 2 oral rehydration solutions containing 60 or 90 mmol/L of sodium and with different osmolalities].含60或90毫摩尔/升钠且渗透压不同的两种口服补液溶液的对比研究
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[Acute diarrheal diseases. Treatment with carrot-rice viscous solution is more effective than ORS solution].[急性腹泻病。胡萝卜-米饭黏液溶液治疗比口服补液盐溶液更有效]
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本文引用的文献

1
Water and electrolyte losses due to cholera in infants and small children: a recovery balance study.婴幼儿霍乱导致的水和电解质流失:一项恢复平衡研究。
Pediatrics. 1970 Mar;45(3):374-85.
2
Double blind fluid therapy evaluation in pediatric cholera.
Pediatrics. 1969 Dec;44(6):922-31.
3
The use of Ringer's lactate in the treatment of children with cholera and acute noncholera diarrhoea.乳酸林格氏液在治疗儿童霍乱和急性非霍乱性腹泻中的应用。
Bull World Health Organ. 1972;46(3):311-9.