儿童胃炎GASTRITISIN CHILDREN英文讲解课件.ppt

* Treatment Etiologic treatment: Dietary adjustment, quit irritant drugs or other stimulus, HP eradication, try to control the bile reflux, etc Symptomatic treatment Protection of gastric mucosa Inhibition of gastric acid Chronic gastritis * HP eradication Choose one drug below PPI Omeprazole Lansoprazole Bismuth preparation Bismuth Subsalicylate Basic Choose two antibiotics below Amoxicillin Clarithromycin Metronidazole Furaxone Triple regimens Chronic gastritis * Prevention of duodenogastric Reflux. Doperidome Cisapride Reducing gastric acid secretion. H2RT (for 4 weeks): Ranitiding Cimetidine PPI (for 2 weeks) Omeprazole Lansoprazole Chronic gastritis * Enhancing mucosal defense Bismuth compounds Sucrafate Symptomatic treatment Atropine Belladonna Chronic gastritis * Thank you. A 5-year-old girl Thief complain: vomited 5 times for 3 hours. What history of present illness do you want to know? * GASTRITIS IN CHILDREN Dr. Liu Chonghai * Gastritis Acute Gastritis Chronic Gastritis * Acute Gastritis * Food and Drugs: (Nonsteroidal Antiinflammatory Drugs,NSAIDs) Severe stress state: Acute infection: Corrosive substances: Vagal stimulation Acid secretion Release of vasoactive amine and cytokines Microcirculation disdurbance Gastric mucosal ischemia Impairment of mucosal and mucous barriers Back-diffusion of hydrogen ions Shock, hydrocephalus, sudden trauma, serious infection, major operation, etc Acute gastritis Etiology Pathogenesis * 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 Acute gastritis Manifestations * Diagnosis Acute simple gastritis History symptoms and signs GI endoscopy Biopsy (if necessar