儿科不同疾病的补液原则（Principles of fluid replacement in pediatric diseases）.docVIP

儿科不同疾病的补液原则（Principles of fluid replacement in pediatric diseases） The principle of fluid replacement in pediatric diseases;.Txt once owned should not be forgotten; those who cannot get more should cherish; those who belong to themselves should not give up; what has been lost must be kept in memory. The fifth section is different from pediatrics The principle of fluid replacement in diseases Matters needing attention Liquid therapy for diarrhea Liquid therapy for children with diarrhea is the most common in pediatrics A typical rehydration therapy, basic and the aforementioned methods Same. 2 fluid replacement for infant malnutrition Malnutrition occurs in infants who suffer from dehydration The metabolism of body fluid has the following characteristics: 1 The volume of extracellular fluid increased relatively, and most of them were hypotonic The loss of subcutaneous fat; malnutrition in children Less fat, skin, poor plumpness, water loss estimation The degree is easy to be high. Produce ketone body increase, again With poor kidney regulation, resulting in less urine and Acid metabolites accumulate, so they are prone to acid Poisoning is more likely to cause potassium deficiency, calcium deficiency and lack of potassium Sodium; at the same time there is edema at the time of dehydration And polyuria, unlike ordinary children when they lose water The appearance of skin and Ru membrane drying and oliguria Like, should be treated with caution; the heart function Poor or excessive infusion, easy to appear heart power Failure and pulmonary edema due to the long-term heat; In short supply, resulting in the decrease of liver glycogen storage, Therefore, children prone to hypoglycemia, fluid infusion is not Can only use salt water. Rehydration therapy is usually the same as above, but We should pay attention to the following characteristics: (1) the amount of fluid infusion: according to The actual weight, fluid replacement, total amount of fluid should be more than general