中国实用儿科杂志

中国实用儿科杂志

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儿童重症脑炎液体疗法

  

  1. 中山大学附属广州市妇女儿童医疗中心PICU， 广东  广州  510000
  • 出版日期:2015-11-06 发布日期:2015-11-25

Fluid therapy for pediatric critical encephalitis

  • Online:2015-11-06 Published:2015-11-25

摘要：

儿童重症脑炎液体疗法是保护脑功能、治疗脑损伤和促进康复的基础措施，包括水的出入平衡、钠平衡与晶体内环境平衡，胶体内环境、体液疗法与循环稳定的关系等。为达到遵循传统的经验，遵守以病理和病理生理变化为基础的共性原则，更要注重在特殊病情下个体化治疗的原则。本文就儿童重症脑炎病理生理依据、维持治疗原则，避免因医源性水、电解质紊乱、循环波动造成的继发性脑损伤等问题进行阐述。

关键词: 儿童, 重症脑炎, 液体疗法, 平衡, 脑保护

Abstract:

The fluid therapy for pediatric critical encephalitis is the elementary management related to protection of brain, treatment for brain injury and recovery. The fluid therapy includes the balance of water, sodium and crystalloid, colloid, circulation and so on. The objective is to follow traditional experience, depend on pathology and patho-physiology, and emphasize individualization for pediatric critical encephalitis. This paper reviewed the evidence of patho-physiology of severe encephalitis and principle for management and treatment, and discussed how to avoid secandary brain injury due to iatrogenic disorder from water and electrolyte and circulative fluctuation.

Key words: child, critical encephalitis, fluid therapy, balance, protection of brain