Lao Friends Hospital for Children, Luang Prabang, Lao PDR; Department of Pediatrics, One Children's Place, Campus Box 8116, St Louis, MO 63110, USA; Maforki Ebola Holding and Treatment Centre, Port Loko, Sierra Leone.
Department of Pediatrics, One Children's Place, Campus Box 8116, St Louis, MO 63110, USA.
Infect Dis Clin North Am. 2018 Mar;32(1):201-214. doi: 10.1016/j.idc.2017.10.010. Epub 2017 Dec 18.
The West African outbreak of 2013 to 2016 was the largest Ebola epidemic in history. With tens of thousands of patients treated during this outbreak, much was learned about how to optimize clinical care for children with Ebola. In anticipation of inevitable future outbreaks, a firsthand summary of the major aspects of pediatric Ebola case management in austere settings is presented. Emphasis is on early and aggressive critical care, including fluid resuscitation, electrolyte repletion, antimicrobial therapy, and nutritional supplementation.
2013 年至 2016 年西非的疫情是有史以来最大的埃博拉疫情。在这次疫情中有数万名患者接受了治疗,从中我们了解到了如何优化对患有埃博拉病毒的儿童的临床护理。为了应对未来不可避免的疫情,本文第一手总结了在艰苦环境下对儿科埃博拉病例管理的主要方面。重点是早期和积极的重症监护,包括液体复苏、电解质补充、抗菌治疗和营养补充。