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Towards evidence based medicine for paediatricians

机译:寻求面向儿科医生的循证医学

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You see an 18-month-old boy with diarrhoea and persistent vomiting, and diagnose gastroenteritis. There is clinical evidence of moderate dehydration. He has unfortunately not been able to tolerate oral rehydration therapy (ORT) in the department, and attempts to place a nasogastric tube to deliver ORT are met with stiff resistance. Cannulation for intravenous therapy is rather difficult, and mother and child look at you balefully as your team succeed on the third attempt. You have heard of subcutaneous fluids being used to successfully to rehydrate adults in your hospital-and wonder whether this technique could be used in children like your patient.
机译:您看到一个18个月大的男孩,腹泻和持续呕吐,并诊断出肠胃炎。有中度脱水的临床证据。不幸的是,他无法忍受该部门的口服补液疗法(ORT),并且尝试放置鼻胃管进行ORT遇到了顽强的抵抗力。进行静脉插管的插管相当困难,当您的团队第三次尝试成功时,母亲和孩子会残酷地看着您。您听说过皮下积液可成功地为您的医院中的成年人补充水分,并且想知道这种技术是否可以用于像您的患者这样的儿童中。

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