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儿童重度营养不良的评估与管理

Assessment and management of severe malnutrition in children.

作者信息

Antwi A

机构信息

Department of Child Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology/Komfo Anokye Teaching Hospital, Kumasi, Ghana.

出版信息

West Afr J Med. 2011 Jan-Feb;30(1):11-8. doi: 10.4314/wajm.v30i1.69878.

DOI:10.4314/wajm.v30i1.69878
PMID:21863583
Abstract

BACKGROUND

Severe malnutrition is a common cause of morbidity and mortality among children less than five years of age. The World Health Organisation (WHO) has developed two manuals for the in-patient treatment of severe malnutrition. However, these manuals are not widely distributed with the result that most health practitioners caring for severely malnourished children unknowingly use practices that, though may be suitable for sick well nourished children, may be highly dangerous for the severely malnourished child.

OBJECTIVE

This review article, based on the two WHO manuals for in-patient treatment of severe malnutrition and other relevant literature, seeks to offer the medical fraternity the opportunity to abreast themselves with the assessment and case management of children with severe malnutrition.

CONCLUSION

Health practitioners caring for children with severe malnutrition should abreast themselves with the recommended guidelines for assessment and management of this common disorder.

摘要

背景

重度营养不良是五岁以下儿童发病和死亡的常见原因。世界卫生组织(WHO)编写了两本关于重度营养不良住院治疗的手册。然而,这些手册并未广泛分发,结果是大多数照料重度营养不良儿童的医护人员在不知情的情况下采用的做法,虽然可能适用于营养良好的患病儿童,但对重度营养不良儿童可能极具危险性。

目的

这篇综述文章基于世界卫生组织的两本重度营养不良住院治疗手册及其他相关文献,旨在为医学界提供机会,使其了解重度营养不良儿童的评估和病例管理。

结论

照料重度营养不良儿童的医护人员应熟悉针对这种常见病症的评估和管理的推荐指南。

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1
Assessment and management of severe malnutrition in children.儿童重度营养不良的评估与管理
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5
[Acute malnutrition in children].[儿童急性营养不良]
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Trop Doct. 2009 Apr;39(2):71-2. doi: 10.1258/td.2008.080035.
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Socio-economic factors predisposing under five-year-old children to severe protein energy malnutrition at the Moi Teaching and Referral Hospital, Eldoret, Kenya.肯尼亚埃尔多雷特市莫伊教学与转诊医院中,导致五岁以下儿童易患重度蛋白质能量营养不良的社会经济因素。
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Malnutrition drives infection susceptibility and dysregulated myelopoiesis that persists after refeeding intervention.
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