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目的:探讨婴幼儿难治性迁移性腹泻与免疫功能关系。方法:2013年10月~2014年4月昆明医学院第一附属医院进修期间6例难治性迁移性腹泻的临床资料及治疗。结果:6例患儿均诊断为迁移性腹泻,血IgG、IgA均降低,给积极补液纠正酸碱平衡紊乱及脱水,同时补充静脉注射用免疫球蛋白3天(0.5g/Kg.d),患儿治疗7~10天全部治愈出院。结论:难治性迁移性腹泻,免疫功能低下是一主要的难治原因。
Objective: To investigate the relationship between infantile refractory migratory diarrhea and immune function. Methods: From October 2013 to April 2014, 6 cases of refractory migratory diarrhea were treated in the First Affiliated Hospital of Kunming Medical College. Results: 6 cases of children were diagnosed as migratory diarrhea, blood IgG and IgA were reduced, to correct the acid-base balance of active fluid replacement and dehydration, while intravenous immunoglobulin supplementation for 3 days (0.5g / Kg.d) Children treated for 7 to 10 days were cured. Conclusions: Refractory migratory diarrhea and immunocompromised patients are a major cause of refractory disease.