Harrington L, Schuh S
Department of Pediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Pediatr Emerg Care. 1997 Jun;13(3):225-6. doi: 10.1097/00006565-199706000-00014.
Hypertonic sodium phosphate enema solutions are commonly used for the treatment of acute constipation in the pediatric emergency department. The potential for severe metabolic derangement and death in children with gastrointestinal and/or renal abnormalities and these reported as normal has been documented in the literature.
To develop guidelines for the safe and effective use of hypertonic sodium phosphate enema solutions such as Fleet enema, in the pediatric emergency department setting.
A comprehensive review of the literature was conducted using the MEDLINE database for the time period 1966 to September 1995. Resources used within our institution, the Hospital for Sick Children, Toronto, Ontario, included Staff of the Emergency and General Surgery Departments.
The guidelines provided will promote safe use of hypertonic sodium phosphate enema solutions for the treatment of acute constipation in children presenting to the emergency department.
高渗磷酸钠灌肠液常用于儿科急诊科治疗急性便秘。文献记载，胃肠道和/或肾脏有异常但报告为正常的儿童使用该灌肠液有发生严重代谢紊乱和死亡的风险。
制定在儿科急诊科安全有效使用高渗磷酸钠灌肠液（如Fleet灌肠液）的指南。
使用MEDLINE数据库对1966年至1995年9月期间的文献进行了全面回顾。我们所在机构，安大略省多伦多市病童医院所使用的资料来源包括急诊科和普通外科的工作人员。
所提供的指南将促进高渗磷酸钠灌肠液在急诊科治疗儿童急性便秘时的安全使用。
