中国实用儿科杂志

中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (6): 459-463.DOI: 10.19538/j.ek2025060603

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重视儿童感染性腹泻的规范诊疗

  

  1. 国家儿童医学中心 首都医科大学附属北京儿童医院消化科，北京  100045
  • 出版日期:2025-06-06 发布日期:2025-08-28
  • 通讯作者: 电子信箱：wujie@bch.com.cn
  • 基金资助:
    北京市医院管理中心“ 登峰”人才培养计划（DFL20221003）；高层次公共卫生技术人才建设项目培养计划（学科带头人-02-04）

Emphasis on standardized diagnosis and treatment of infectious diarrhea in children

  1. Department of Gastroenterology，Beijing Children’s Hospital，Capital Medical University，National Children’s Medical Center，Beijing  100045，China
  • Online:2025-06-06 Published:2025-08-28

摘要： 感染性腹泻是儿科常见急症，也是全球5岁以下儿童死亡的重要原因之一。近年来，随着病原谱变迁、诊疗技术进步及抗菌药物耐药问题凸显，规范诊疗成为其临床研究的核心议题。文章基于国内外最新指南与临床研究，系统阐述病原体特征、诊疗原则及争议点，旨在为临床实践提供循证依据。

关键词: 儿童感染性腹泻, 规范诊疗, 病原谱, 抗菌药物, 补液治疗

Abstract: Infectious diarrhea is a common pediatric emergency and one of the important causes of death in children under 5 years of age worldwide. In recent years， with the change of pathogen spectrum， the advancement of diagnosis and treatment technology， and the prominence of antimicrobial resistance， standardized diagnosis and treatment has become a core issue in clinical research. Based on the latest domestic and international guidelines and clinical research， this article systematically describes the characteristics of pathogens， principles of diagnosis and treatment， and controversial points， with the aim of providing evidence-based basis for clinical practice.

Key words: infectious diarrhea in children, standardized diagnosis and treatment, pathogen spectrum, antimicrobials, rehydration therapy