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使用葡萄糖聚合物电解质溶液对急性婴儿腹泻进行口服补液

Oral rehydration in acute infantile diarrhoea with a glucose-polymer electrolyte solution.

作者信息

Sandhu B K, Jones B J, Brook C G, Silk D B

出版信息

Arch Dis Child. 1982 Feb;57(2):152-4. doi: 10.1136/adc.57.2.152.

Abstract

Seven infants with mild acute diarrhoeal dehydration were rehydrated with an oral sugar-electrolyte solution containing a glucose polymer mixture. Six of them were rehydrated successfully. The high sodium content of the solution (90 mmol/l) was based on the WHO/UNICEF recommended glucose-electrolyte solution and was implicated as the cause of increases in serum sodium in 4 infants, one of whom developed serious hypernatraemia associated with glucose-positive stools. A solution with a lower sodium and glucose-polymer content may be of nutritional benefit in the oral rehydration of acute infantile diarrhoea.

摘要

七名患有轻度急性腹泻性脱水的婴儿用含有葡萄糖聚合物混合物的口服糖电解质溶液进行补液。其中六名婴儿补液成功。该溶液的高钠含量(90毫摩尔/升)基于世界卫生组织/联合国儿童基金会推荐的葡萄糖电解质溶液,被认为是4名婴儿血清钠升高的原因,其中一名婴儿出现了与葡萄糖阳性粪便相关的严重高钠血症。一种钠和葡萄糖聚合物含量较低的溶液可能对急性婴儿腹泻的口服补液具有营养益处。

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本文引用的文献

1
The treatment of acute diarrhea in children. An historical and physiological perspective.
Am J Clin Nutr. 1980 Mar;33(3):637-63. doi: 10.1093/ajcn/33.3.637.
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UNICEF/W.H.O. glucose electrolyte solution not always appropriate.
Lancet. 1980 Oct 11;2(8198):793. doi: 10.1016/s0140-6736(80)90397-9.

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