A group of diseases characterized by increased frequency of bowel movements and changes in stool characteristics caused by various pathogens
A group of diseases characterized by increased frequency of bowel movements and changes in stool characteristics caused by various pathogens and various factors,
1 according to the parents and caregivers of children with stool shape change (in dilute water, mushy, mucusbloodandpus) and stool frequency than usual increase in complaints could make the diagnosis of diarrhea.
2. Based on the stool characteristics, the naked eye and microscopic examination, the season of onset, the age of onset and the prevalence of the disease, the cause of the disease was estimated
Anterior fontanelle, orbital
Account for 5%
A little difference
A little less
Body weight accounted for 5% - 10%
Normal or decreased
Accounted for more than 10% of body weight
Extreme severe face
(pinch skin = 2 seconds)
Little or no urine
Fast and weak
3 as soon as possible emphasize oral rehydration, stressed the need to continue feeding, emphasizes the identification of dehydration syndrome, emphasis on zinc treatment (zinc supplementation can shorten the duration of diarrhea, reduce disease and prevent the recurrence of diarrhea. Within the next two or three months) Promote breastfeeding, recommend the use of new ORS formula.
4 each time after the stool will be supplemented with a certain amount of liquid (< June, 50ml; 6-2 years old, 100ml; 2-10 years old 150ml; children over the age of 10 or how much can be given to the number of adults) until diarrhea stops.
Mild to moderate dehydration:
Oral rehydration in a timely manner to correct dehydration, application of ORS, dosage (ML) = body weight (kg) * (50 ~ 75), after oral administration of the end of 4 hours;
The liquid is mixed with a mixture of sugar and sugar in the vein;
First of all, 2:1 isotonic liquid 20 ml/kg, intravenous injection or rapid infusion in 30-60 minutes to rapidly increase blood volume, improve circulation and renal function;
After expansion according to the nature of dehydration (isotonic dehydration using 2:3:1 fluid that is 1/2 Zhang, hypotonic dehydration using 4:3:2 fluid) according to 80ml/kg continue to drop, first fill the amount of 2/3, infants and young children 5h, larger children 2.5h;
In the rehydration process, every 1-2 hours to assess a patient dehydration, if no improvement, then speed up rehydration;
After 6 hours, or a larger child in the evaluation of dehydration in the next 3 hours, the option of appropriate rehydration program to continue treatment;
Once the patient can be taken orally, usually after 3-4 hours of intravenous rehydration in children, 1-2 hours after the child, that is given ORS.
6 Vitamin A supplements;
Acute diarrhea after eating can be zinc treatment, more than 6 months of age, a daily supplement containing zinc 20mg, under 6 months of age, a daily supplement of zinc 10mg, a total of 10-14 days.
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