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补液后:孩子会怎样?

After rehydration: what happens to the child?

作者信息

Riyad S, el Moughi M, Wahsh A A, Hirschhorn N

机构信息

National Control of Diarrheal Disease Project (NCDDP), Dokki, Giza, Egypt.

出版信息

J Trop Pediatr. 1991 Oct;37(5):220-2. doi: 10.1093/tropej/37.5.220.

DOI:10.1093/tropej/37.5.220
PMID:1784053
Abstract

Three-hundred infants and toddlers with diarrhoea were followed up for 5 days after initial rehydration with oral rehydration solution (ORS). When an average of 300-340 ml per day was given at home (520 ml if the diarrhoea was watery), only two children required re-hospitalization; one other child died whose voluminous losses should not have been treated at home. Fifteen per cent of the children still had watery diarrhoea and vomiting by the fifth day, perhaps as a result of multiple drug therapy. Continued feeding, especially breast milk and cereal grains, should reduce the duration of diarrhoea and vomiting (and perhaps the number of drugs). The amount of time a mother can spend giving ORS ultimately limits the amount a child receives.

摘要

300名腹泻婴幼儿在初次使用口服补液盐(ORS)补液后接受了5天的随访。当在家中每天平均给予300 - 340毫升(如果腹泻为水样便则为520毫升)时,只有两名儿童需要再次住院治疗;另有一名儿童死亡,其大量体液丢失本不应在家中治疗。到第5天,15%的儿童仍有水样腹泻和呕吐,这可能是多种药物治疗的结果。持续喂养,尤其是母乳喂养和谷物喂养,应能缩短腹泻和呕吐的持续时间(或许还能减少用药数量)。母亲能够用于给予ORS的时间最终限制了孩子的摄入量。

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