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佛罗里达州针对儿童的口服补液疗法。

Oral hydration therapy for children in Florida.

作者信息

Neiberger R E, Pena D R, Eitzman D

机构信息

Department of Pediatrics, University of Florida College of Medicine, Gainesville.

出版信息

J Fla Med Assoc. 1992 Feb;79(2):105-11.

PMID:1552292
Abstract

Eighty-six children in Florida died of complications associated with diarrhea between 1985 and 1990, deaths which constituted an important preventable fraction of infant mortality. The state will support health professionals in reducing the number of hospitalizations and deaths due to diarrheal complications, Governor Lawton Chiles announced in September 1991, and the Florida Department of Health and Rehabilitative Services is being awarded a $100,000 grant from the Centers for Disease Control for a three-year study on the effectiveness and utilization of oral rehydration therapy. During the last 20 years, a worldwide experience has developed indicating that sodium-glucose cotransport is preserved in both secretory diarrhea (cholera) and diarrhea produced by loss of surface area. This experience indicates that almost no one would die (adult or infant) if oral rehydration solutions and someone with knowledge in their use were readily available. This presentation has three objectives: (1) increase physicians' awareness regarding the state's oral rehydration therapy project; (2) provide a ready practical guide for those using oral rehydration therapy; and (3) promote use of the therapy as treatment for infantile dehydration rather than the more expensive intravenous therapy.

摘要

1985年至1990年间,佛罗里达州有86名儿童死于腹泻相关并发症,这些死亡在婴儿死亡率中占了很大一部分可预防比例。1991年9月,州长劳顿·奇利斯宣布,该州将支持卫生专业人员减少因腹泻并发症导致的住院和死亡人数,佛罗里达州卫生与康复服务部将获得疾病控制中心提供的10万美元拨款,用于开展一项为期三年的关于口服补液疗法有效性和使用情况的研究。在过去20年里,全球积累的经验表明,在分泌性腹泻(霍乱)和因表面积丧失导致的腹泻中,钠-葡萄糖协同转运功能均得以保留。这一经验表明,如果随时都能获得口服补液溶液以及懂得如何使用的人员,几乎没有人(无论成人还是婴儿)会死亡。本报告有三个目标:(1)提高医生对该州口服补液疗法项目的认识;(2)为使用口服补液疗法的人员提供一份实用指南;(3)推广将该疗法用于治疗婴儿脱水,而非使用成本更高的静脉输液疗法。

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