抄録
The replacement therapy for abnormal fluid loss due to salivary and gastric aspiration was studied in pediatric surgical patients by balance study.
Sixty two cases of newborn babies and infants who underwent surgery and 30 cases of normal newborn babies were used for the measurement of sodium, potassium and chloride.
Flame photometer (model 143, IL Co. U.S.A.) and Buchler-Cotlove's chloride meter (automatic titrator) were used for their analysis.
A. The principles of this tube-feeding method were as follows:
1) bowel sound should be heard;
2) by X-ray examination diminution of gastric gas and gas movement in bowel should be revealed;
3) gastric aspiration should be decreased;
4) gastric aspiration contains no coffee-grounds material and was not greenisch or thicken; and
5) no abnormal incerase of aspiration should be observed
B. Method:
1) Gastric contents were aspirated through nasogastric tube in certain interval (for example, every 3 hrs.).
2) Replacement of certain or total volume of gastric contents was done after determination of its volume and nature.
3) If this volume was less than the expected volume milk or electrolyte solution were given for the replacement of gastric contents.
The replacement therapy utilizing the above techiques for abnormal fluid loss due to congenital esophageal atresia, congenital duodenal atresia, congenital hypertrophic pyloric stenosis etc., was easy, safe and available to physiologically maintain the water and elec trolyte blance during the care after surgical procedures of newborn babies and infants.
