Craven J A, Campbell L, Martin C T
Paediatric Emergency Department, National Children's Hospital, Tallaght, Dublin 24.
Ir Med J. 2009 Mar;102(3):85-7.
Oral rehydration is well established in the treatment of acute gastroenteritis, however it is profoundly underutilised as a treatment in the hospital setting. We introduced a protocol of waiting room oral rehydration for children presenting to the Paediatric Emergency Department with vomiting and/or diarrhoea. These children were given oral rehydration from the time of triage prior to medical assessment. During the study period, 251 children presented 269 times with vomiting and/or diarrhoea, of which 205 (76%) were diagnosed with acute gastroenteritis. A similar period 1 year previously was used as comparison, during which 129 children were diagnosed with acute gastroenteritis. During the study period, 58 children (28%) were given intravenous fluids and 47 (23%) were admitted, compared with 72 (56%) given intravenous fluids and 42 (32%) admitted in the comparison group. This protocol is now part of our routine management of children presenting with symptoms of acute gastroenteritis. Waiting room oral rehydration is a simple yet successful intervention that can be implemented in any Emergency Department.
口服补液在急性胃肠炎的治疗中已得到广泛认可，然而在医院环境中，它作为一种治疗方法的使用却严重不足。我们为到儿科急诊科就诊的出现呕吐和/或腹泻症状的儿童引入了候诊室口服补液方案。这些儿童从分诊时起，在接受医学评估之前就给予口服补液。在研究期间，251名儿童因呕吐和/或腹泻就诊269次，其中205名（76%）被诊断为急性胃肠炎。将前一年同期作为对照，当时有129名儿童被诊断为急性胃肠炎。在研究期间，58名儿童（28%）接受了静脉输液，47名（23%）住院，而对照组分别为72名（56%）接受静脉输液和42名（32%）住院。该方案现已成为我们对出现急性胃肠炎症状儿童常规管理的一部分。候诊室口服补液是一种简单而成功的干预措施，可在任何急诊科实施。
