Sperotto G
Departamento de Pediatría, Universidad del Estado de São Paulo-UNICAMP en Campinas, Brasil.
Bol Med Hosp Infant Mex. 1992 Aug;49(8):506-13.
With the use of oral rehydration, the need for the use of endovenous rehydration has decreased considerably. Albeit, the use is still necessary in severely dehydrated patients or when oral rehydration fails. Textbooks produced in developed countries recommend slow administration of fluids to correct dehydration in 12 to 24 hours. In developing countries, due to the great number of severely dehydrated patients, this approach is not useful. We developed, during the last 20 years, an approach to intravenous rehydration that permits rehydration of the severely ill patient in a much shorter time (2 to 3 hours) and permits an early refeeding. It can be used in all patients, even newborns or malnourished. No laboratory tests are necessary. Only a small number of simple and readily available solutions are used to prepare the electrolyte mixtures.
随着口服补液的应用,静脉补液的需求已大幅减少。尽管如此,在严重脱水患者或口服补液失败时,静脉补液仍然是必要的。发达国家编写的教科书建议缓慢补液,在12至24小时内纠正脱水。在发展中国家,由于严重脱水患者数量众多,这种方法并不适用。在过去20年中,我们开发了一种静脉补液方法,该方法能在更短的时间(2至3小时)内使重症患者得到补液,并能尽早开始再次喂养。它可用于所有患者,甚至新生儿或营养不良者。无需进行实验室检查。只需使用少量简单且容易获得的溶液来配制电解质混合物。