Dohi-Fujii B, Godoy-Olvera L M, Durazo-Ortíz J
Servicio de Hidratación Oral, Hospital Infantil del Estado de Sonora, Hermosillo, México.
Bol Med Hosp Infant Mex. 1993 Nov;50(11):797-802.
We present results of four years in oral rehydration therapy (ORT) in the Hospital Infantil del Estado de Sonora. There was 10.2 consults by diarrhoea for day. Children lower of one year old received oral rehydration therapy in 86.8%, were included 11% of prolonged diarrhoea and 32.3% of children with malnutrition. During the procedure diarrhoea there was complicated in 3% with paralytic ileus sepsis and pneumonia. Effectivity of ORT was in 90.9%; 92.8% in light dehydration and 78.7% moderate. Failure in 8.6% was due to vomitus, no acceptation of the oral solution, abundant evacuations and other complication presented. Were observed reduction in hospitalization, rate of 19.2% in 1986 to 38.4% in 1989. The diarrheal mortality decreased in the Urgence Department in 42% and in the Infectology Department in 54%. We considered these results as satisfactory, but are susceptible to better when we diffuse more the oral rehydration therapy in own region.
我们展示了索诺拉州儿童医院四年口服补液疗法(ORT)的结果。腹泻日门诊量为10.2人次。一岁以下儿童接受口服补液疗法的比例为86.8%,其中11%为迁延性腹泻,32.3%为营养不良儿童。在治疗过程中,3%的患儿出现了麻痹性肠梗阻、败血症和肺炎等并发症。ORT的有效率为90.9%;轻度脱水患儿的有效率为92.8%,中度脱水患儿的有效率为78.7%。8.6%的治疗失败是由于呕吐、不接受口服溶液、大量排便及其他并发症所致。观察到住院率有所下降,从1986年的19.2%降至1989年的38.4%。急诊科腹泻死亡率下降了42%,传染病科下降了54%。我们认为这些结果是令人满意的,但当我们在本地区更广泛地推广口服补液疗法时,情况有望得到进一步改善。