第二节 急性胃炎（Second acute gastritis）.docVIP

第二节 急性胃炎（Second acute gastritis） Second acute gastritis Acute gastritis refers to acute and chronic inflammation of the gastric mucosa. The disease is usually short and reversible. Acute simple gastritis Etiology and pathogenesis 1. Food that is contaminated by bacteria or toxins. Common pathogenic bacteria are Salmonella, Vibrio parahaemolyticus (halophilic bacteria), Helicobacter pylori, and certain influenza viruses and enteroviruses. Staphylococcus aureus toxin is the most common toxin in the toxin. Salmonella often grows in meat and eggs. Vibrio parahaemolyticus mainly in crabs, fish, snails, jellyfish and other seafood pickles, hot days long set of meals, milk, meat suitable for Staphylococcus reproduction and enterotoxin production. Two, physical and chemical factors, physical factors, such as eating excessive heat, supercooling, rough food, X-ray irradiation, etc.. Chemical factors, such as spirits, coffee, strong tea, spices, and certain drugs, can damage the mucous membranes of the stomach and cause inflammatory changes. The other three, overeating, excessive fatigue, cold so that the body resistance drops or gastric mucosal barrier damage, it is easy to be influenced by the above factors and the incidence of invasion. Pathology The gastric mucosa showed acute inflammatory changes, the mucosa was markedly congested, edematous, and mucus hypersecretion. White or yellow exudate adhered to the surface, accompanied by punctate bleeding and mucosal erosion, with infiltration of neutral cells in the mucosa. Clinical manifestation Acute onset, often in the contaminated food for hours to 24 hours after the onset. The main symptoms were abdominal discomfort, abdominal pain, nausea, vomiting, vomit as sour food, violent vomiting can spit bile, even bloody fluid. As with enteritis, can appear umbilicus colic, diarrhea stool was watery paste or yellow, with pus and blood, several times a day to several times. May be accompanied by chills fever, dehydration, acidosis,