Hugger J, Harkless G, Rentschler D
Lahey-Hitchcock Clinic, Hudson, N.H., USA.
Nurse Pract. 1998 Dec;23(12):52, 57-8, 60-2 passim.
Childhood diarrhea accounts for a substantial number of primary care visits. Historically, pediatric diarrheal disease was a significant cause of morbidity and mortality in children. Treatment for acute gastroenteritis has changed greatly over the past century, from i.v. therapy to the current use of oral rehydration therapy (ORT). This article highlights the development of ORT, addresses recent ORT controversies, and provides an overview of the current practice guidelines offered by the American Academy of Pediatrics in March 1996 for the management of acute gastroenteritis in children ages 1 month to 5 years.
儿童腹泻导致大量初级保健就诊。从历史上看,小儿腹泻病是儿童发病和死亡的重要原因。在过去的一个世纪里,急性胃肠炎的治疗发生了很大变化,从静脉治疗到目前使用的口服补液疗法(ORT)。本文重点介绍了口服补液疗法的发展,探讨了近期关于口服补液疗法的争议,并概述了美国儿科学会于1996年3月发布的关于1个月至5岁儿童急性胃肠炎管理的现行实践指南。