腹泻与其液体疗法wshfinal.pptVIP

* * * Previously it was common to rest the gastrointestinal tract for 24-48 hours whilst correcting dehydration and allowing functional recovery of the intestinal mucosa. Clinical studies have shown that an early return to feeding has both clinical and nutritional benefits A meta-analysis of RCTs showed that early refeeding in gastroenteritis reduces the duration of diarrhoea (0.43 days; 95% CI, - 0.74 to 0.12). * Two subsequent RCTs showed that early refeeding improves weight gain without increasing either vomiting or diarrhoea duration. ** *Practice parameter: the management of acute gastroe