Gulati N, Kumar A, Lal P, Mehra M, Sahgal K
Department of Preventive and Social Medicine, Maulana Azad Medical College, New Delhi.
J Commun Dis. 1995 Dec;27(4):256-61.
Based on epidemiological investigation of 75 gstro-enteritis deaths that occurred in 22 major hospitals of Delhi during 1990-92, this paper deals with the observations pertaining to the role of physicians and health infrastructure in the management of gastro-enteritis patients. Majority of the patients visited private practitioners/clinics in the first instance. Hospital stay in 44% of cases was 6 hours or more, by which time dehydration and/or electrolyte imbalance should have been corrected. Still, in 54.5 percent out of these, dehydration was the cause of death, while in 18.2 percent electrolyte imbalance co-existed. Record maintenance at various hospitals was far from satisfactory. The study, highlighting the need for proper rehydration and timely referral enlists recommendations that might help in preventing gastro-enteritis deaths.
基于对1990 - 1992年间德里22家主要医院发生的75例肠胃炎死亡病例的流行病学调查，本文探讨了医生和卫生基础设施在肠胃炎患者管理中的作用相关观察结果。大多数患者首先就诊于私人执业医生/诊所。44%的病例住院时间为6小时或更长，此时脱水和/或电解质失衡本应得到纠正。然而，在这些病例中，仍有54.5%的患者死于脱水，18.2%的患者同时存在电解质失衡。各医院的记录保存情况远不尽人意。该研究强调了适当补液和及时转诊的必要性，并列出了可能有助于预防肠胃炎死亡的建议。
