74例小儿腹泻临床诊治分析

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1、74例小儿腹泻临床诊治分析74例小儿腹泻临床诊治分析【中图分类号】R723【文献标识码】A【文章编号】1672-3783(2011)10-0019-01【摘要】目的：探讨小儿腹泻病的病因及治疗体会。方法：通过询问病史、体检及辅助检查，指导小儿腹泻病的治疗。对我院收治的74例腹泻患儿进行对症治疗及纠正脱水，苴中男42例，女32例；年龄最小3个月，最大3岁，7个月〜2岁62例；3个月〜6个月4例；2岁〜3岁8例；轻度腹泻58例，屮重度腹泻16例，迁延型腹泻5例，慢性腹泻7例。结果：轻度腹泻2〜4日痊愈，平均3H;迁延型和慢性腹泻6~9日痊愈，平均7日；重型腹泻3~7日痊愈，平均5Ho结论：弓I

2、起小儿腹泻的原因可分为非感染性和感染性两大类因素，尽量对腹泻患儿耍严格执行使用抗生素的指征。避免再造成反复腹泻，使体内正常菌群减少及破坏，造成肠道内正常菌群平衡失调，在治疗的同时均辅以保护肠粘膜和适当补充益生菌制剂后，均缩短了腹泻治疗的病程，减少了再次感染的发病率，以利患儿健康成长。【关键词】小儿；腹泻；临床分析74casesofclinicaldiagnosisandtreatmentofdiarrheainchildrenXuZhiyu[Abstract]Objective:Toinvestigatethecauseofdiarrheainchildrenandtreatmentexp

3、erience・Methods:historytaking,physicalexaminationandlaboratoryexaminations,guidethetreatmentofdiarrheainchildren.Ofourhospital74casesofdiarrheainchildrenwithsymptomatictreatmentandtocorrectdehydration,ineluding42malesand32females:theyoungestthreemonths,upto3yearsold,7monthsto2years62cases;3monthst

4、o6monthsin4cases;2yearsto3yearsand8cases;milddiarrheain58patientswithmoderatetoseverediarrheain16cases,fivecasesofdelayed-typediarrhea,chronicdiarrheain7cases・Results:milddiarrheain2to4daysrecovery,anaverageof3days;persistenttypeandchronicdiarrhea6~9daysrecovery,anaverageof7days;severediarrhea3to7

5、daysrecovery,anaverageof5days・Conclusion:Thecauseofinfantilediarrheacausedbynon-infectiousandinfectioncanbedividedintotwomajorcategoriesoffactors,asmuchaspossibleforchildrenwithdiarrheashouldstrictlyenforcetheuseofantibioticsindications・Topreventfurtherdiarrheacausedbyrepeated,sothatthebody，snorma

6、lfloraandreducethedamagecausedbythenormalintestinalfloraimbalance,whileintreatmenttoprotecttheintestinalmucosaandaresupplementedbyadditionalappropriateprobioticpreparations,wereshortenedcourseoftreatmentofdiarrhea,reducetheincidenceofre-infection,inordertofacilitatethehealthygrowthofchildren.[Keyw

7、ords]children;diarrhea;clinicalanalysis小儿腹泻为婴幼儿常见病，由多病源、多因素引起，以大便次数增多和大便性状改变为特征的消化道疾病。发病年龄多在2岁以下,1岁以内患儿约占50%。全世界每年死于腹泻的儿童高达500万一1800万，夏秋季为腹泻病的高发季节，在我国小儿腹泻发病率仅次于呼吸道感染，居第二位。本病传变迅速，如若治疗不及吋或方治偏差，则可转重，险象丛生,或成为迁延性、慢性腹泻