儿科营养1INFANTILEDIARRHEA英文.ppt

* INFANTILE DIARRHEA  * General Introduction Diarrheal diseases are the most frequently occurring illness in childhood in the developing countries and are the second frequently in our China (only lower than respiratory diseases ) 5 million childhood are die from diarrheal diseases every year Incidence :201,46% * Susceptible agents The characteristic of the alimentary system The features of growth and development The weakness of the defense function of the body Alteration of intestinal flora Artificial feeding * Etiology 一. Infective agents 1.Viral infection. accunts for 80% Rotavirus (HRV) Calicivirus and Astrovirus Enterovirus Coxsackievirus ECHO virus Anteric Adenovirus Norwalk virus Coronavirus * Etiology 2.Bacterial infection Escherichia. Coli Enteropathogenic E. coli, EPEC Enterotoxigenic E. coli, ETEC Enteroinvasive E. coli, EIEC Enterohemorrhagic E. coli, EGEC Enteroadherent-aggregative E. coli, EAEC Campylobacter jejuni Yersinia * Etiology Others Salmonella Aeromonas hydrophila Clostridium.difficile Stap hylococus aureus bacillus pyoeyaneus bacillus proteus * Etiology 3.Mycotic infection Candida albicans 4.Patasitization Giardia Cambia Amebae Cryptosporidium AAD * Etiology 二.Non-infective agents Food diarrhea Climatic factor Others Allergic diarrhea * Pathogenesis 1. Infective diarrhea (1) Viral infective enteritis (2) Bacterial infective enteritis Toxigenic enteritis Invasive enteritis 2. Non-infective diarrhea * Pathogenesis Viral infective enteritis The offending virus invade the epithelial cells of intestine villi destroy Disaccharidase Carrier Area of absorption Absorption of Absorption of Absorption of Disaccharide Glucose and Na+ carbohydrate and lipid Osmotic pressure Watery diarrhea * Pathogenesis Toxigenic enteritis Enterotoxigenic E.col