ImageVerifierCode 换一换
格式:PPT , 页数:33 ,大小:1.45MB ,
文档编号:3872028      下载积分:25 文币
快捷下载
登录下载
邮箱/手机:
温馨提示:
系统将以此处填写的邮箱或者手机号生成账号和密码,方便再次下载。 如填写123,账号和密码都是123。
支付方式: 支付宝    微信支付   
验证码:   换一换

优惠套餐
 

温馨提示:若手机下载失败,请复制以下地址【https://www.163wenku.com/d-3872028.html】到电脑浏览器->登陆(账号密码均为手机号或邮箱;不要扫码登陆)->重新下载(不再收费)。

已注册用户请登录:
账号:
密码:
验证码:   换一换
  忘记密码?
三方登录: 微信登录  
下载须知

1: 试题类文档的标题没说有答案,则无答案;主观题也可能无答案。PPT的音视频可能无法播放。 请谨慎下单,一旦售出,概不退换。
2: 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。
3: 本文为用户(晟晟文业)主动上传,所有收益归该用户。163文库仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对上载内容本身不做任何修改或编辑。 若此文所含内容侵犯了您的版权或隐私,请立即通知163文库(点击联系客服),我们立即给予删除!。
4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
5. 本站仅提供交流平台,并不能对任何下载内容负责。
6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。

版权提示 | 免责声明

1,本文(儿童胃炎英课件.ppt)为本站会员(晟晟文业)主动上传,163文库仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对上载内容本身不做任何修改或编辑。
2,用户下载本文档,所消耗的文币(积分)将全额增加到上传者的账号。
3, 若此文所含内容侵犯了您的版权或隐私,请立即通知163文库(发送邮件至3464097650@qq.com或直接QQ联系客服),我们立即给予删除!

儿童胃炎英课件.ppt

1、vChongqing Childrens HospitalvDivision of Infectious Disease vand Gastroenterology儿童胃炎英 Gastritisn Acute Gastritisn Chronic Gastritis儿童胃炎英2儿童胃炎英3 Diffination Etiology&Pathogenesis Pathology儿童胃炎英4Food and Drugs:Severe stress state:Acute infection:Corrosive substances:Vagal stimulationAcid secretionRe

2、lease of vasoactive amine and cytokinesMicrocirculation disdurbanceGastric mucosal ischemiaImpairment of mucosal and mucous barriersBack-diffusion of hydrogen ions Shock,hydrocephalus,sudden trauma,serious infection,major operation,etc 儿童胃炎英5 A sudden onsetTypical manifestations:epigastric pain,naus

3、ea,vomiting,watery diarrheaFever:caused by bacterial infection or its toxinsComplications:dehydration,electrolyte disturbances,acid-base imbalance,UGI bleeding儿童胃炎英6 Acute simple gastritis Historysymptoms and signsGI endoscopy&Biopsy(if necessary)Diffusive hyperemia and edema of the gastric mucosa A

4、cute inflammation:neutrophilic infiltration in the lamina propriaMay accompanied with punctate hemorrhage and mild corrupt lesion儿童胃炎英7A.Remove of offending agents Quit all irritants or stimulus:drugs,alcohol Management of the original diseasesB.Symptomatic treatment 1)Replacement of fluid and elect

5、rolyte loss 2)Spasmolysant:Atropine,Belladonna 4)Antiemetic drugs:Domperidone 3)Special management for upper GI bleedingC.Protection of gastric mucosa and inhibition of gastric acid Mucosal protector Antacids:H2-RA,PPI儿童胃炎英8儿童胃炎英9儿童胃炎英10vBy definition,is a histopathological entity characterized by c

6、hronic inflammation of the stomach mucosa.vIt may present with an array of symptoms,the most common being nonspecific recurrent abdominal pain in children.vHigh frequency in children儿童胃炎英11 Update Sydney System in 1996 Superficial Chronic Gastritis Atrophic Specific types儿童胃炎英12v Helicobacter pylori

7、(HP)v Bile refluxv Dietary Habitv Sequela of acute gastritisv Drugsv Psychological and genetic factors:Emotional stressvChronic DiseasevOther factors儿童胃炎英13儿童胃炎英14H Pylori is considered to infect virtually all patients with chronic active gastritis and thought to be spread from person to person via

8、oral-oral and/or fecal-oral routes.儿童胃炎英15儿童胃炎英16儿童胃炎英17vGastroscopic examination is the most reliable method for diagnosis of gastritisvBiopsyvX-ray:Barium meal examinationvHP detection儿童胃炎英18vRapid urease test vUrea breath test(C13)vHistology vSerum Antibodies to HPvBacterial Culture vTesting for

9、HP stool antigenvPolymerase chain reaction 儿童胃炎英19Recurrent abdominal pain and/or dyspeptic symptom in childrenGastroendoscopic examinationHistory:Inappropriate dietary habits,family history,medication taking,psychological stress儿童胃炎英20EnterositeEnterospasmAbdominal epilepsy儿童胃炎英21vEtiologic treatme

10、nt:Dietary adjustment,quit irritant drugs or other stimulus,HP eradication,try to control the bile reflux,etcvSymptomatic treatmentvProtection of gastric mucosavInhibition of gastric acid儿童胃炎英22Choose one drug belowPPIOmeprazoleLansoprazoleBismuth preparationBismuth Subsalicylate Basic Choose two an

11、tibiotics belowAmoxicillinClarithromycinMetronidazoleFuraxoneTriple regimens儿童胃炎英23v Prevention of duodenogastric Reflux.Doperidome Cisapridev Reducing gastric acid secretion.H2RT(for 4 weeks):Ranitiding Cimetidine PPI (for 2 weeks)Omeprazole Lansoprazole儿童胃炎英24v Enhancing mucosal defense Bismuth co

12、mpounds Sucrafatev Symptomatic treatment Atropine Belladonna儿童胃炎英25儿童胃炎英26儿童胃炎英27Hemorrhagic gastritis with multiple intramural bleeding spots 儿童胃炎英28Multiple papules in the antrum corresponding to lymphoid hyperplasia induced by Helicobacter pylori infection.儿童胃炎英29Stomach mucosa diffusely covered

13、with bile-stained mucus.儿童胃炎英30Gastric candidiasis with extensive green-white exudates covering the antrum.儿童胃炎英31Increased visibility of the antral vascular pattern with findings compatible with chronic athrophic gastritis associated with H.pylori infection.The rugal folds of the body running longitudinally towards the antrum.儿童胃炎英32儿童胃炎英33

侵权处理QQ:3464097650--上传资料QQ:3464097650

【声明】本站为“文档C2C交易模式”,即用户上传的文档直接卖给(下载)用户,本站只是网络空间服务平台,本站所有原创文档下载所得归上传人所有,如您发现上传作品侵犯了您的版权,请立刻联系我们并提供证据,我们将在3个工作日内予以改正。


163文库-Www.163Wenku.Com |网站地图|