Rosen E U, Patidar J V, Shaik R
Department of Paediatrics and Child Health, Baragwanath Hospital, Johannesburg.
S Afr Med J. 1989 Nov 4;76(9):485-7.
A study was carried out to delineate the use of oral rehydration therapy (ORT) for gastro-enteritis in a unit that had previously used intravenous therapy (IVT) almost exclusively. Most children with dehydrating gastro-enteritis who were 5% or less dehydrated received ORT initially, while those who were more severely affected were given IVT. The success rate using ORT alone was 73%, which was much lower than that achieved in other studies. Possible factors associated with this poor outcome are discussed. It was concluded that with the exceptions of lactose intolerance and coexisting infection, lack of commitment to ORT and the easy access to IVT must have contributed significantly to the suboptimal outcome.
在一个此前几乎完全采用静脉治疗（IVT）的科室，开展了一项关于口服补液疗法（ORT）用于治疗肠胃炎的研究。大多数脱水程度为5%及以下的肠胃炎患儿最初接受ORT治疗，而那些病情更严重的患儿则接受IVT治疗。单独使用ORT的成功率为73%，远低于其他研究中的成功率。文中讨论了与这一不良结果相关的可能因素。得出的结论是，除乳糖不耐受和合并感染外，对ORT缺乏投入以及容易获得IVT治疗肯定是导致结果不理想的重要因素。
