小儿补液（Pediatric rehydration）.docVIP

小儿补液（Pediatric rehydration） Pediatric rehydration.Txt Pediatric fluid replacement is the basic skills of pediatricians, especially in primary hospitals, especially for children with diarrhea. The problem of fluid replacement has been a problem for all of us, especially the inexperienced clinicians. Here, I sum up according to the existing fluid supplement in the nursery, and my own understanding, as follows: rehydration trilogy. First, we must first determine what the condition of the child is and what degree of dehydration is involved to know what our next infusion plan will be. 1, the degree of dehydration judgment: Mild dehydration: due to lower body water, children will feel a little thirsty, urine discharge, inspection, see children in general, good, two eyes a little depression, pinch abdominal or medial thigh skin after retraction is still fast. (mild dehydration, the most important criterion is: there is urine discharge, in general, may cry when there is tears) The children with moderate dehydration: irritability, irritability; thirsty to drink water, baby looking around the nipple, if the bottle will be desperately sucking; medical education network original cry tears, urine volume and less; check to see with eyes wo sink, dry mouth, pinch the abdominal wall and thigh skin slow retraction. The main criteria for moderate dehydration are irritability, irritability, crying, tears, and sunken sockets Severe dehydration: children are now suffering from mental atrophy, lethargy, or even coma; oral drink is very serious, crying without tears, urine volume and urine count are few. The examination showed that the children had obvious sunken eyes and very dry tongue. After pinching the abdominal wall and medial thigh skin, the retraction was very slow. (severe dehydration criteria: depression, or even drowsiness. Quite dry skin, and even appeared pattern, crying without tears, no urine discharge. ) 2, the permeability of judgment: Hypotonic: serum sodium 130mmol/L; (