Acute bacillary dysentery in children with all the necessary host. Severe disease: particularly toxic bacillary dysentery in children should be hospitalized, timely and comprehensive rescue measures taken against the disease. Children with light under the guidance of doctors in outpatient or home treatment, parents should tie in with the doctor doing nursing work, this can greatly shorten the course, improving efficacy.
Concrete measures are as follows:
1, antibiotics: according to local, at that time, the case to select drugs and patients should use antibiotics of Shigella flexneri sensitive, toxic bacillary dysentery in application of combined application of 2-3 antibiotics and intravenous administration, in the blood concentrations of the antibiotic reach impact in a short time. Shigellosis in General can be oral, unless oral or intravenous or intramuscular administration instead, common cephalosporin antibiotic, ampicillin, course 7-10 day. To stop negative stool culture.
2, correct water electrolysis mass disorder and acidosis: fluids and electrolytes lost a lot of children with diarrhea. Dehydration applied in children with oral rehydration solution for light, medium, the amount of adjusted according to the diarrhea and dehydration to the correct circumstances, parents should follow the doctor\'s advice to children with flushing water to drink, until dehydration corrected. Severe dehydration or vomiting not oral, needed intravenous rehydration to correct.
3, toxic bacillary dysentery treatment principles for rapid cooling, lifting of small artery spasms, improve microcirculation. Antipyretic agents are often high fever falling down alone, should be combined with physical cooling, such as ice cap, alcohol bath, while temperature 1% SE, invalid and hibernation therapy towards lowering the body temperature in a short time to 36-37, hibernation period of not more than 12-24 hours and positive treatment of circulatory and respiratory failure.
4, rest and diet: children with bacillary dysentery should rest in bed, isolated by intestinal infectious diseases, disinfection of dung. No vomiting or severe shigellosis General not fast, but you want to adjust the diet as condition. First of all, stop eating easily digested food, to alleviate the burden of gastrointestinal tract. Breastfeeding of the child to continue breastfeeding, may be appropriate to reduce the number of feed, feed the interval time extend, breastfeeding reduced at a time, suspend adding complementary foods. Early artificial feeding children plus soup with milk or water can be diluted to feed. Conditions improved and then gradually increase milk and baby food, and slowly transition to a normal diet. Older children should be given light, digestible liquid or semi liquid food, such as noodle soup, after conditions improved to soft rice, then gradually increase lean meat, fish, eggs to increase nutrition.
5, supporting therapy: bacillary dysentery with blood transfusion in children with malnutrition, white proteins or amino acids, serious anemia may be a small number of transmission and new blood several times, to increase resistance.
6, keeping hips cleaning: frequency of diarrhea, children susceptible to Diaper Dermatitis, so after each time the children will want to use warm water to clean the hips, and dry. Should use strong absorbent, soft cloth diapers, avoid using plastic sheet pad on the children\'s buttocks, or too tight package. After the occurrence of Diaper Dermatitis can use vaseline oil, zinc oxide coating on the hips, daily 2-3, light, 2-3, 5-7 days to recover.
Complication of anal prolapse is diarrhea, available oil gauze or warm saline gauze prolapsed intestine gently hold back, shigellosis well, anal prolapse is natural healing.
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