Therapeutic impact of routine electrolyte testing in childhood diarrhoea.

V Pillay-van Wyk, G Swingler
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引用次数: 1

Abstract

Aim: To report on the management of plasma sodium and potassium disturbances, identified by routine electrolyte testing in children.

Methods: A prospective cohort study of patients admitted to the Diarrhoea Rehydration Unit of Red Cross Children's Hospital, Cape Town, South Africa. The patients were 530 children aged 6 weeks to 2 years with a primary diagnosis of diarrhoea.

Results: For plasma sodium levels <125 mmol/L (3.4%, 95% CI 2.0-0 5.3), 48 patients (95% CI 30-116) needed testing for one to receive a change of management. For plasma potassium levels <3 mmol/L (31.6%, 95% CI 27.6-35.6), fewer patients (6, 95% CI 5-7) needed testing for one to receive a change of management.

Conclusion: Electrolyte abnormalities were detected and clinical management changed, but large numbers of patients needed to be tested for each change of management.

常规电解质检测对儿童腹泻的治疗作用。
目的:报道通过常规电解质检测发现的儿童血浆钠钾紊乱的处理方法。方法:对南非开普敦红十字儿童医院腹泻补液部收治的患者进行前瞻性队列研究。患者为530名6周至2岁的儿童,初步诊断为腹泻。结论:发现了电解质异常,改变了临床管理方法,但每次改变管理方法都需要大量患者进行检测。
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来源期刊
Annals of Tropical Paediatrics
Annals of Tropical Paediatrics 医学-热带医学
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