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[在南苏丹(上尼罗地区,梅卢特)对腹泻婴儿使用持续消毒水经鼻胃管进行口服补液]

[Oral rehydration by nasogastric tube using continuously sterilized water in infants with diarrhea in South Sudan (the Upper Nile area, Melut)].

作者信息

Rosegger H, Sixl W

出版信息

Padiatr Padol. 1985;20(4):363-8.

PMID:4080406
Abstract

In the Melut-area 120 infants and young children (100%) (average estimated age 6 months) suffering from acute gastroenteritis were treated according to degree of dehydration and state of consciousness. Comatous patients and patients with life-threatening dehydration (= 25% of the patients) were given physiological NaCl-solution (15 ml/kg b. w.) intravenously and subsequently 2 to 4 courses with glucose electrolyte solution administered as a continuous drip-infusion via a nasogastric tube (CNGI) until the patient shed urine. Moderately dehydrated patients (35%) were treated by one or several CNGI only and therapy was then continued at home. Patients with mild dehydration (40%) were usually treated at home. Because of the bad quality and the microbiological contamination of the drinking-water which was the only source available for preparing the rehydration solution a chlorine-free disinfectant based on silver was used for water disinfection and preservation. Only solutions prepared in such water were used for both home-treatment and CNGI. In the 120 patients with treated diarrhea during a 7 months period 4 died. The rate of relapses, however, could not be established.

摘要

在梅卢特地区,120名患有急性肠胃炎的婴幼儿(100%)(平均估计年龄6个月)根据脱水程度和意识状态接受治疗。昏迷患者和有危及生命脱水情况的患者(占患者总数的25%)静脉注射生理氯化钠溶液(15毫升/千克体重),随后通过鼻胃管进行2至4个疗程的葡萄糖电解质溶液持续滴注(CNGI),直至患者排尿。中度脱水患者(35%)仅通过一次或几次CNGI治疗,然后在家中继续治疗。轻度脱水患者(40%)通常在家中接受治疗。由于用于制备补液溶液的唯一水源——饮用水质量差且存在微生物污染,因此使用了一种基于银的无氯消毒剂进行水消毒和保存。只有用这种水制备的溶液才用于家庭治疗和CNGI。在7个月期间接受腹泻治疗的120名患者中,有4人死亡。然而,复发率无法确定。

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