Rice H E, Caty M G, Glick P L
Department of Pediatric Surgery, Children's Hospital of Buffalo, New York, USA.
Pediatr Clin North Am. 1998 Aug;45(4):719-27. doi: 10.1016/s0031-3955(05)70042-0.
The fluid management of the pediatric surgical patient is a crucial aspect of surgical care. This article reviews the fundamental physiology of fluid replacement in children and highlights how standard formulas for fluid therapy can be modified to account for the rapidly changing physiology of the pediatric surgical patient. Novel approaches to fluid treatment of the surgical patient with oral rehydration formulas are discussed. Finally, guidelines for specific management of common pediatric surgical diseases are presented.
小儿外科患者的液体管理是外科护理的关键环节。本文回顾了儿童液体补充的基本生理学知识,并着重介绍了如何调整液体治疗的标准公式,以适应小儿外科患者迅速变化的生理学特征。还讨论了采用口服补液配方对手术患者进行液体治疗的新方法。最后,给出了常见小儿外科疾病具体管理的指南。