The weather is cold and pediatrics is already overcrowded. Not only are there many patients, but they are also very sick, and the wards of various hospitals are mostly full and hard to find a bed. Pediatricians are already overworked. The condition of children in winter is generally heavier than in spring and summer, and some children want to be observed for 1-2 more days, and then come back for a follow-up visit with pneumonia. At this time, doctors will be more cautious in diagnosis and treatment, doing more tests and examinations and choosing more aggressive treatment options, one of which is intravenous infusion. Parents’ attitude toward infusion: In the past, parents often asked to give their children infusions in the clinic, saying that they would get better faster. In recent years, with the increase of science, more and more people have a new understanding of infusion. Parents often questioned or refused the doctor’s treatment plan that required infusion in the outpatient clinic. Today, a child with pneumonia came to the clinic for follow-up. Yesterday, the child had to be treated orally because he firmly refused the infusion, and today, his temperature gradually started to drop and his cough was slightly better. The parents said it was the right thing to do without fluids. However, in the case of another patient with pneumonia, the parents refused to give him fluids and he continued to have a high fever and cough all night after returning home. The parents were very remorseful. These two examples were given to show that clinical situations are very complex and what is suitable for one child may not be suitable for another. If a child is seriously ill and chooses a relatively conservative treatment method, some children may be effective, while others may be worse if their condition is not well controlled. Parents who refuse to allow their children to receive infusion therapy need to consider the possible exacerbation of the disease. Some parents say that infusions are rare abroad. It is true that infusions are rare abroad, but they are never given only when the child is “too sick”, but the evidence is very strict. The natural environment, medical environment, pathogenic characteristics, and severity of disease in foreign countries are all different from those in China, and there are good things to learn from, but not to copy. I don’t know what the relationship between infusion and surgery is, and there is no way to compare the risks of the two. And what about “infusion is equivalent to suicide”? Can sensationalism really make the disease heal faster? Determining whether to give fluids or not is a very professional decision, and it is best to follow medical advice. Aggressive: Of course, there are still many parents who aggressively ask for infusions, thinking that they will get better faster. I often hear parents ask: “Doctor, can you give your child some fluids, he’s been feverish all day, and the last time I gave him fluids he got better right away. So, the doctor prescribes you the medicine and you take your child to the infusion step by step. Some parents may ask, “Do I ask the doctor for an infusion and the doctor gives it? This is very likely, in the existing environment of most public hospitals, each patient’s consultation time is only a short 3-5 minutes, can not do good doctor-patient communication, but also can not complete the tracking of the patient’s condition, you put forward requirements are not met, the next day if the condition is aggravated (which is very common) you do not understand, lightly generate complaints, heavy fist fight, the doctor really can not afford. Therefore, we acquiesce to the patient’s request for examination and treatment if it does not violate the principle of treatment (please understand). Therefore, please do not say to your doctor that you got better once you had an infusion last time, because every time the disease is different; do not say that you cannot get better without an infusion every time, so that repeated infusions will create drug dependency and the effect will be reduced when antibiotic treatment is really needed. What is the need for infusion? Having said that, what exactly is the situation that requires infusion? In a word: it is best to listen to the doctor’s advice. The doctor will make a comprehensive judgment on the child’s condition, clinical manifestations, laboratory results and disease trends, and decide whether to give fluids or not. The following are some of the more common cases that require infusion: 1) children with high fever that does not subside, significantly increased white blood cells in blood tests, and the effectiveness of oral antibiotics is not obvious; 2) children diagnosed with bacterial or mycoplasma bronchitis or pneumonia; 3) children with vomiting and diarrhea leading to dehydration and electrolyte disorders, or vomiting that is severe enough to prevent them from eating water; 4) children who are depressed and irritable and need to be kept in the hospital for observation. These are the more common cases that require infusion, and the details need to be determined by a doctor’s visit. Benefits of infusion 1. The treatment of more serious bacterial or mycoplasma infectious diseases such as purulent tonsillitis and pneumonia is often rapid and effective. Such as the annihilation of an invading enemy by a group of troops. 2.For children with dehydration and electrolyte disorders and vomiting that are too severe to eat water, it can effectively relieve dehydration and electrolyte disorders. 3.Maintain intravenous access in the observation of the condition of seriously ill children. Possible problems of infusion 1. Over-treatment and drug resistance: Once it is found that infusion works fast, parents will ask for infusion again when they get sick. Multiple infusions, the child’s organism produces antibiotic resistance. Once the child suffers from a more serious disease, he or she loses effective treatment means. 2, the child pain: infusion for parents and children is a very difficult process. The child may cry from the beginning to the end, and this situation is also greatly detrimental to the recovery of the child’s disease. 3, infusion reaction: infusion reaction does not often occur in the clinic, but once it happens, the situation is often very serious. The lighter the fever and chills, the rash, the heavier even life-threatening. The chance of occurrence is very low, but this risk exists if infusion is given. In short, not many children really need fluids and most are cured with oral medication. Whether or not to give fluids needs to be determined by the doctor.