| Serum Electrolytes in Dehydrated Children with Acute Diarrhea. |
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I J Kang, W H Choi, I K Paik, C M Kang |
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Dept of Pediatrics, Presbyterian Medical Center, Keimyung University, School of Medicine, Daegu, Korea. |
| 小兒泄瀉患兒의 血淸電解質 變動에 關한 考察 |
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姜林周, 崔元浩, 白仁基, 姜眞無 |
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啓明大學校 醫科大學 東山基督病院 小兒科 |
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| Abstract |
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This is the report of the serum electrolyte changes of 351 acute diarrhea patients which were admitted to the Pediatric Department of Presbyterian Hospital, Daegu Korea, during the period of 3 years from August 1975 through July 1978. Following results were obtained. 1) Out of 351 cases, 276 cases(78.9%) were under 2 years of age. 2) 241 cases(68.6%) were males and 110 cases(31.4%) were females. 3) Enteric infections were seen in 134 cases(38.2%) and 217 cases(61.8%) had simple parenteral diarrhea. 4) Seasonal distribution of diarrhea revealed higher incidence in Summer & Autumn(74.5). 5) In serum Na. 183 cases(52.5%). Were isonatremic and 157 cases(44.7%) were hyponatremic. Hypernatremic was seen in only 11 cases(3.1%). 6) In serum K, most of the cases(68.8%) had normal levels and 84 cases(24.3%). Showed hypokalemia. 7) Serum Cl within normal level in 273 cases(78.2%). 8) Acidosis was seen in 148 case (45.3%) with increasing incidence in the younger age group. 9) The dehydration was classified clinically as mild in 112 cases(31.9%), moderate in 186 cases(53.0%) and severs in 53 cases (15.1%). Severely dehydrated cases had higher incidence of hypo hypertonic dehydration. |
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