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1、InfantileLiquidTherapyObjectiveSummaryCharacteristicofInfantileBodyFluidBalanceFluid,Electrolyte,&Acid-baseDisordersCommonSolutionofLiquidTherapyInfantileDiarrheaLiquidTherapyObjectiveCharacteristicofInfantileBodyFluidBalance——RealizedPathophysiologyofInfantileFluid,Electrolyte&Acid-baseImbalance——
2、BefamiliarwithClinicalmenifestationsofInfantileFluid,Electrolyte&Acid-baseDisorders——MasteredCommonSolutionComponentofLiquidTherapy——BefamiliarwithLiquidTherapyofInfantileDiarrhea——MasteredSummaryBodyfluidisimportantcomponentofhumanbodyandthephysiologicalequilibriumofbodyfluidisanimportantfactorfor
3、humanliving.Thedynamicequilibriumoffluid,electrolyte,acid-base,osmoticpressuredependsonnormalregulatingfunctionofnerve,incretion,lungandkidney.Becauseoftheinfantilephysiologicpeculiarity,Thesesystematicfunctionsareeasilyaffectedbydiseasesand/orenvironmentandaremaladjusted.Therefore,thedisorderofwat
4、er,electrolyteandacid-baseiscommoninpediatricclinic.CharacteristicofInfantileBodyFluidBalanceA.Totalbodywater&itsdistributionBodywatercompartmentsrelatedtoage(totalbodymass%)AgeTBWECFICFPlasmaISFNewborninfant78637351year70525402～14years6652040Adult55～66510～1540～45TBW:totalbodywaterECF:extracellular
5、fluidICF:intracellularfluidISF:interestitialfluidCharacteristicofInfantileBodyFluidBalanceB.ElectrolytecompositionofbodyfluidECF:Na+、Cl-，HCO3-ICF:K+、Mg2+、HPO42-、ProteinC.Watermetabolisma.Largewaterrequirements,swiftwaterexchange,unobviouswaterloss(doubleadult’samount).Infant’swaterexchangeamountis1
6、/2ofECF,theadult’sisjust1/7.b.Immaturebodyliquidregulatingfunction,immatureconcentrationanddilutionfunctionofinfantile.Fluid,Electrolyte&Acid-baseDisordersA.DegreeofdehydrationDehydrationMildModerateSevereDecreaseinbodyweight5％(50ml/kg)5～10％(50～100ml/kg)>10％(100～120ml/kg)PsycheDepressed,hyperirrita
7、bleDepressed,hyperirritableLethargic,comaOrbit,FontanelSunken±SunkenSeverelysunkenSkinturgorNormal±DecreaseMarkedlydecreaseMucousmembranesDry±DrySeverelydryTearsDecrease±DecreaseAbsentUrineMildoliguriaoligu
