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秋季腹泻是由轮状病毒感染引起的一种自限性疾病,是小儿“四病”防治之一。其发病和预后与机体营养状况及免疫力有密切关系。我们对270例住院患儿进行喂养方式及营养状况对秋季腹泻的影响进行分析,为实行母乳喂养,提高儿童生长发育水平,减少秋季腹泻的发生提供一些依据。1 临床资料本组270例均为1992～1994年我科秋季腹泻住院患儿。男176例,女94例.年龄3个月～2(3/(12))岁.其中母乳喂养62例(22.96％),混合喂养140例(51.85％),人工喂养68例(25.19％)。为11月～次年1月.粪便主要为蛋花汤样便或白色稀水便。镜检无红细胞及脓细胞,以脂肪球为主,少数白细胞2～3个/Hp,其中29例经大便培养均无致病菌生长.治疗:应用病毒唑或潘生丁抗病毒,并根据脱水程度及发热、呕吐情况进行补液及对症处理,止泻标准:大便由水样变为成形便或糊状便,每天排便不超过3次,或恢复原来的排便习惯。
Autumn diarrhea is a self-limiting disease caused by rotavirus infection, is one of the “four diseases” prevention and treatment in children. Its incidence and prognosis are closely related to the nutritional status and immunity of the body. We analyzed the effects of feeding patterns and nutritional status on autumn diarrhea in 270 hospitalized infants and provided some evidences for implementing breastfeeding, improving children’s growth and development and reducing the incidence of autumn diarrhea. 1 Clinical data The group of 270 cases were from 1992 to 1994 in our hospital children with autumnal diarrhea. There were 176 males and 94 females aged from 3 months to 2 (3 / (12)), of whom 62 (22.96%) were breastfeeding, 140 (51.85%) were mixed feeding and 68 (25.19% . From November to January of the following year, the droppings are mainly egg drop soup or white watery stools. Microscopic examination without erythrocytes and pus cells, mainly fat globules, a small number of leukocytes 2 to 3 / Hp, of which 29 were stool culture without pathogenic bacteria growth. Treatment: the application of ribavirin or dipyridamole antiviral, and according to the degree of dehydration And fever, vomiting, rehydration and symptomatic treatment, antidiarrheal criteria: stool from the water into a form or pasty will defecate no more than 3 times a day, or to restore the original bowel habits.