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我院从1963年8月至1964年10月,共收治“中毒性泔化不良”患儿34例,其中19例呈中、重度脱水,内有13例曾由原卫生单位先行输液,从入院时的病情及原病历记载看来,其中有11例在补液方面都存在着某些不当之处。计有:皮下输入5%葡萄糖液7例,一次输液量过多和直接注入11.2%乳酸钠液1例,静脉输入25%葡萄糖液1例,对并发肺炎的患儿输液量过多过快1例,对缺钾患儿忽略补钾12例,等等。现本着互相学习的精神,就此类问题提出共同研究。一、皮下输入5%葡萄糖液的不当:19例中有5例给皮下输入5%葡萄糖
Our hospital from August 1963 to October 1964, received a total of 34 cases of “poisoning of indigestion” in children, of which 19 cases were moderate and severe dehydration, there are 13 cases of the former by the original health unit infusion, From the time of admission and records of the original records shows that there are 11 cases of fluid replacement there are some inappropriate. There are 7 cases of subcutaneous infusion of 5% glucose solution, one infusion of too much and direct infusion of 11.2% sodium lactate solution in 1 case, intravenous infusion of 25% glucose solution in 1 case, too much excess fluid in children with concurrent pneumonia in 1 case , Neglect of potassium in children with potassium deficiency in 12 cases, and so on. Now in the spirit of learning from each other, we put forward joint research on such issues. First, the subcutaneous 5% glucose solution into the improper: 19 cases in 5 cases to subcutaneous 5% glucose