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[急性腹泻病的治疗与预防]

[The treatment and prevention of acute diarrheal disease].

作者信息

Pizarro D

机构信息

Servicio de Medicina 6, Hospital Nacional de Niños, San José, Costa Rica.

出版信息

Bol Med Hosp Infant Mex. 1991 Oct;48(10):699-709.

PMID:1764192
Abstract

Diarrheal diseases are the main cause of infant mortality in children under five year of age in the Third World. In order to diminish the mortality and morbidity rate, the World Health Organization developed the Diarrhoeal Diseases Control Programme (DDCP). The DDCP recommends two actions: to prevent diarrheal diseases and treatment of dehydration, the main cause of death in diarrheal diseases. Plan A is devoted to prevent dehydration; Plan B to treat orally dehydration; and Plan C to treat severe dehydration by means of rapid intravenous therapy. These plans were devised by health workers skill in the management of adults presenting Asiatic Cholerae. Thereafter the same method was used in non cholerae diarrhea, and finally in infants and children of all ages. The method has proven to be useful for treating all dehydration complications. The pediatric textbooks recommend the use of oral rehydration therapy (ORT) but do not support it very strongly. Plan C is not known by these authors, who recommend the old fashioned method used in the 70's. Here in I present the most advanced rehydration methods.

摘要

腹泻病是第三世界五岁以下儿童婴儿死亡的主要原因。为了降低死亡率和发病率,世界卫生组织制定了腹泻病控制规划(DDCP)。DDCP建议采取两项行动:预防腹泻病和治疗脱水,脱水是腹泻病死亡的主要原因。A计划致力于预防脱水;B计划用于口服补液治疗;C计划通过快速静脉治疗来治疗严重脱水。这些计划是由擅长治疗成人霍乱的卫生工作者制定的。此后,同样的方法被用于非霍乱性腹泻,最后用于所有年龄段的婴幼儿。该方法已被证明对治疗所有脱水并发症有用。儿科教科书推荐使用口服补液疗法(ORT),但支持力度不太强。这些作者不知道C计划,他们推荐70年代使用的老式方法。在此我介绍最先进的补液方法。

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