Reutter-Simon G, Gröbe H
Kinderklinik des Klinikums der Stadt, Nürnberg.
Monatsschr Kinderheilkd. 1990 Nov;138(11):755-8.
Hypertonic dehydration developed in 30 patients (age ranged from 17 days to 28 months) with acute gastroenteritis. Rehydration was achieved with i.v. solutions, early potassium replacement, and especially with oral solutions (WHO-solution: 90 mval/l Na+ content). The average amount of sodium and fluids was 23.2 mval/kg/d and 270 ml/kg/d respectively to cause an average drop in sodium of 0.6 mval/h. There were no CNS-complications or deaths.
30例急性胃肠炎患者(年龄从17天至28个月)出现高渗性脱水。通过静脉补液、早期补钾,尤其是口服溶液(世界卫生组织溶液:钠含量90毫当量/升)实现了补液。钠和液体的平均用量分别为23.2毫当量/千克/天和270毫升/千克/天,导致钠平均每小时下降0.6毫当量。无中枢神经系统并发症或死亡病例。