吳廉錦
Wu Lianjing Dep. of pediatrics

• 1: 贵阳医学院儿科学教研室

摘要(Abstract)：

本文分析了763例小儿腹泻发病情况,该病的发病有逐年减少的趋势,夏季腹泻减少较明显,秋冬季腹泻仍多且较为集中。发病年龄以两岁以下较多见(91％)。合并症多达80％,等渗性脱水伴有不同程度的酸中毒者占多数。粪便培养阳性率低,阳性者以夏季腹泻时鼠伤寒杆菌较多见。治疗以纠正脱水酸中毒为主,控制合并感染以及支持疗法均很重要,中西医结合可提高疗效。本组病死率为0.79％,死亡者多有严重合并症。
The morbidity rate of infantile diarrhea tends to reduce gradually year by year. This is remarkable in summer, while still remains high and more concentrated in autumn and winter. It is most frequently seen in children under 2 years of age (91％). The symptoms besides diarrhea, fever and vomiting were those involved in complications (80％). The degree of dehydration mostly belonged to the mild, equal permeability with certain extent of acidosis, The stool cultures revealed a low positiveness and the positive samples contained typhimuriums, are frequently seen in summer. To correct the dehydration and acidosis in treatment were be the principal rule. To control complications and supportive treatment were all important. The combined treatment of Chinese and western medicine could raise the therapeutic effect. The mortality rate in these cases was 0.79％ Those dead cases were mostly due to severe complications.

关键词(KeyWords)： 小儿腹泻;脱水;酸中毒;感染
Infantile diarrhea Dehydration Acidosis Infection

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 吳廉錦
Wu Lianjing Dep. of pediatrics

DOI: 10.19367/j.cnki.1000-2707.1986.02.014

参考文献(References)：

• 1． 叶孝礼.感染性腹泻病理生理及治疗研究的进展.中华儿科杂志1981;19(4) :244．
• 2． 河北省小儿腹泻协作组.1980、 81年度河北省感染性腹泻住院患儿患病情况分析.全国小儿腹泻经验交流会资料 1982．
• 3． 江西省儿童医院.2479例婴幼儿腹泻住院病例临床分析(1972～1981) .全国小儿腹泻经验交流会资料 1982．
• 4． 福建省立医院,福建省儿科研究所.1977～1981年度福州地区急性感染性腹泻住院患儿发病因素、病原学及治疗的分析.会议资料 1983．
• 5． Sleinhoff MC. Pediatric infectious diseases. J pediatrics 1980; 96: 611．
• 6． Roger Glass.Notes on the epide miology of diarrhoeal diseases.世界卫生组织资料 1981．

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