Fluid resuscitation strategy for children with pneumonia complicated by diarrhea
10.3760/cma.j.issn.1673-4912.2025.01.005
- VernacularTitle:肺炎合并腹泻患儿的液体复苏策略
- Author:
Lingxiao LI
1
;
Hongmin FU
1
Author Information
1. 昆明市儿童医院 & 云南省儿童医院呼吸与危重症医学科 云南省儿童重大疾病研究重点实验室650034
- Publication Type:Journal Article
- Keywords:
Pneumonia;
Diarrhea;
Children;
Fluid resuscitation
- From:
Chinese Pediatric Emergency Medicine
2025;32(1):23-26
- CountryChina
- Language:Chinese
-
Abstract:
Pneumonia complicated by diarrhea in children is a common clinical phenomenon.During fluid resuscitation,it is essential to prevent fluid deficiency while avoiding excessive fluid administration,which can lead to pulmonary interstitial edema or heart failure.A conservative fluid resuscitation strategy is recommended,initially utilizing a balanced crystalloid solution for resuscitation.If a significant volume of fluid is still required after assessment,colloid solutions may be considered.In accordance with the ROSE strategy for fluid resuscitation in sepsis,a staged fluid management approach should be implemented for children with pneumonia and diarrhea.Continuous monitoring of the patient's response to resuscitation and the improvement of clinical symptoms is crucial.If feasible,advanced hemodynamic monitoring should be employed.It is advisable to utilize multiple parameters and diverse methods to comprehensively assess the patient's clinical condition,thereby enabling the formulation of individualized fluid management plans.
