儿童腹泻病的规范化诊治-2017直通车.ppt

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1、儿童腹泻病的规范诊治重庆市医学会儿科专委会儿童消化学组主要内容：儿童腹泻病的诊治现状与挑战儿童腹泻病的合理评估与诊断儿童腹泻病的规范治疗主要内容：儿童腹泻病的诊治现状与挑战儿童腹泻病的合理评估与诊断儿童腹泻病的规范治疗Highincidenceofdiarrheainchildrenunderfiveyearsold5岁以下儿童腹泻的发病率居高不下Globalchallengesinacutediarrhea.CurrOpinGastroenterol2016,32:18-23.Globalburdenofchildhooddiarrheaandinterve

2、ntions.CurrOpinInfectDis2014,27:451-458.Globalburdenofchildhoodpneumoniaanddiarrhea.Lancet2013,381:1405-16.AfricanregionAmericanregionEasternMediterraneanregionEuropeanregionSoutheastAsianregionWesternPacificregionWorld：Incidence：2.7(2.1-3.2)Totalepisodes：1731.3(1375.7-2032.8)*106Tot

3、alsevereepisodes：36.1(26.6-42.4)*106Totaldeaths：711.8(491.1-1049.3)*103Percentageofdeathsamongchildrenunderage5attributabletodiarrhoea,2015因腹泻死亡的儿童占5岁以下儿童所有死亡的百分比(9%)UNICEFData:Updated:Feb2017Diarrhoeaisaleadingkillerofchildren,accountingfor9percentofalldeathsamongchildrenunderage5wo

4、rldwidein2015.Source:WHOandMaternalandChildEpidemiologyEstimationGroup(MCEE)estimates2015Source:GlobalActionPlanforthePreventionandControlofPneumoniaandDiarrhoea(GAPPD)Protect,PreventandTreatFrameworkImprovedsanitationfacilitiestranslatesintofewerchildhooddiarrhoea-relateddeaths（卫生设施

5、的改善减少儿童腹泻相关的死亡）Source:UNICEFanalysisbasedonWHOandMaternalandChildEpidemiologyEstimationGroup(MCEE)estimates2015andUNICEFglobaldatabases2016Source:WHO/UNICEFJointStatement:Clinicalmanagementofacutediarrhoea,2004Treatmentinterventions-whentimelyandappropriatecancurechildrenfromdiarrhoe

6、aandensuresurvival（治疗干预措施-及时和适当的治疗儿童腹泻和确保生存）Coverageoforalrehydrationtreatmentandcontinuedfeedingfordiarrhoeaislowacrossregions,particularlyintheoneswithhighestmortality（口服补液治疗和继续喂养覆盖率仍旧低下,特别是在死亡率高的地区）Source:UNICEFglobaldatabases2016basedonMICS,DHSandothernationallyrepresentativesour

7、ces.Littleprogresshasbeenmadesince2000inexpandingtheuseofORSfortreatmentofchildhooddiarrhoea（自2000年以来在扩大使用口服补液盐治疗儿童腹泻中几乎没有取得任何进展）Source:UNICEFglobaldatabases2016basedonMICS,DHSandothernationallyrepresentativesources.DiarrhoeatreatmentwithORSislowoverallandlagginginruralareas（口服补液盐治疗腹

8、泻在农村地区整体滞后）S