资源描述：
《儿童胃炎GASTRITIS-IN-CHILDREN(英文课件).ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、CaseA5-year-oldgirlThiefcomplain:vomited5timesfor3hours.Whathistoryofpresentillnessdoyouwanttoknow?2GASTRITISINCHILDRENDr.LiuChonghaiGastritisAcuteGastritisChronicGastritis4AcuteGastritis5FoodandDrugs:(NonsteroidalAntiinflammatoryDrugs,NSAIDs)Severestressstate:Acutei
2、nfection:Corrosivesubstances:VagalstimulationAcidsecretionReleaseofvasoactiveamineandcytokinesMicrocirculationdisdurbanceGastricmucosalischemiaImpairmentofmucosalandmucousbarriersBack-diffusionofhydrogenionsShock,hydrocephalus,suddentrauma,seriousinfection,majoropera
3、tion,etcAcutegastritisEtiology&Pathogenesis6ManifestationsAsuddenonsetTypicalmanifestations:epigastricpain,nausea,vomiting,waterydiarrheaFever:causedbybacterialinfectionoritstoxinsComplications:dehydration,electrolytedisturbances,acid-baseimbalance,UGIbleedingAcutega
4、stritisManifestations7DiagnosisAcutesimplegastritisHistorysymptomsandsignsGIendoscopy&Biopsy(ifnecessary)AcutegastritisDiffusivehyperemiaandedemaofthegastricmucosaAcuteinflammation:neutrophilicinfiltrationinthelaminapropriaMayaccompaniedwithpunctatehemorrhageandmildc
5、orruptlesion8NormalGastricMucosaNGM9gastricmucosaledemaNGM10HemorrhagicgastritisHemorrhagicgastritiswithmultipleintramuralbleedingspotsNGM11A.RemoveofoffendingagentsQuitallirritantsorstimulus:drugs,alcoholManagementoftheoriginaldiseasesB.Symptomatictreatment1)Replace
6、mentoffluidandelectrolyteloss2)Spasmolysant:Atropine,Belladonna4)Antiemeticdrugs:Domperidone3)SpecialmanagementforupperGIbleedingC.ProtectionofgastricmucosaandinhibitionofgastricacidMucosalprotectorAntacids:H2-RA,PPITreatmentAcutegastritis12Chronicgastritis13Thetoptw
7、oreasonsforrecurrentabdominalpaininchildrenarechronicgastritis&PUDAnestimated10%schoolagechildrenisaffectedbyrecurrentabdominalpain.14Bydefinition,isahistopathologicalentitycharacterizedbychronicinflammationofthestomachmucosa.Itmaypresentwithanarrayofsymptoms,themost
8、commonbeingnonspecificrecurrentabdominalpaininchildren.HighfrequencyinchildrenChronicgastritis15ClassificationNon-atrophic(Superfic
