Barness L A
Postgrad Med. 1979 Feb;65(2):163-6, 168-9. doi: 10.1080/00325481.1979.11715059.
Among the many causes of chronic diarrhea in children are food, the most common; inflammation; enzyme deficiencies; metabolic, anatomic, and physiologic abnormalities; and endocrine disorders. The first step in management is to estimate fluid losses and treat dehydration greater than 5%. Workup should include a careful diet history, physical examination, examination of stools and urine, and usually a sweat test. Treatment should be directed to the underlying disease.
儿童慢性腹泻的病因众多，其中食物是最常见的病因；还有炎症、酶缺乏、代谢、解剖和生理异常以及内分泌紊乱。治疗的第一步是估计液体丢失情况，并治疗脱水程度超过5%的患儿。检查应包括详细的饮食史、体格检查、粪便和尿液检查，通常还需要进行汗液试验。治疗应针对潜在疾病。
