儿童胃炎gastritisinchildren英PPT课件.ppt

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Case;儿童胃炎gastritisinchildren英PPT课件;GASTRITIS IN CHILDREN ; Gastritis Acute Gastritis Chronic Gastritis;Acute Gastritis;Food and Drugs: (Nonsteroidal Antiinflammatory Drugs,NSAIDs) Severe stress state: Acute infection: Corrosive substances: ; Manifestations A sudden onset Typical manifestations: epigastric pain, nausea, vomiting, watery diarrhea Fever: caused by bacterial infection or its toxins Complications: dehydration, electrolyte disturbances, acid-base imbalance, UGI bleeding ;Diagnosis;Normal Gastric Mucosa ;gastric mucosal edema ;Hemorrhagic gastritis ;A. Remove of offending agents Quit all irritants or stimulus: drugs, alcohol Management of the original diseases B. Symptomatic treatment 1)Replacement of fluid and electrolyte loss 2)Spasmolysant: Atropine, Belladonna 4)Antiemetic drugs: Domperidone 3)Special management for upper GI bleeding C. Protection of gastric mucosa and inhibition of gastric acid Mucosal protector Antacids: H2-RA, PPI;Chronic gastritis;The top two reasons for recurrent abdominal pain in children are chronic gastritis PUD;By definition, is a histopathological entity characterized by chronic inflammation of the stomach mucosa. It may present with an array of symptoms, the most common being nonspecific recurrent abdominal pain in children. High frequency in children;Classification;Etiology;Helicobacter plori;H Pylori is considered to infect virtually all patients with chronic active gastritis and thought to be spread from person to person via oral-oral and/or fecal-oral routes.;Clinical manifestation;Clinical manifestation;Auxiliary examinations;Diagnostic methods of HP infection Rapid urease test Urea breath test(C13) Histology Serum Antibodies to HP Bacterial Culture Testing for HP stool antigen Polymerase chain reaction ;Normal Gastric Mucosa ;Gastric Lymphoid Hyperplasia;Alkaline Reflux Gastritis ;Ga

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