diarrhea婴儿腹泻英文后修.pptxVIP

Major cause of children’s(﹤5y) death in developing countries in 2002;General introduction Classification Predisposing factor Etiology Pathogenesis Clinical manifestations Clinical features of several common enteritis Persistent diarrhea Diagnosis Differential Diagnosis Treatment;?General introduction;General introduction Classification Predisposing factor Etiology Pathogenesis Clinical manifestations Clinical features of several common enteritis Persistent diarrhea Diagnosis Differential Diagnosis Treatment;Causes;General introduction Classification Predisposing factor Etiology Pathogenesis Clinical manifestations Clinical features of several common enteritis Persistent diarrhea Diagnosis Differential Diagnosis Treatment;Gastric acid secretion , secretion and activity of enzyme , quality and quantity of diet change quickly. Water metabolism ，tolerance of hydropenia ，easy to body fluid disorder. Nerves, endocrine, circulation, liver and renal function: not mature, easy to digestive tract function disorder. ;Predisposing factor-2;;Relation between feeding and infection in infants(﹤3m);;General introduction Classification Predisposing factor Etiology Pathogenesis Clinical manifestations Clinical features of several common enteritis Persistent diarrhea Diagnosis Differential Diagnosis Treatment;Infectious animal;From Kapikian AZ, Chanock RM. Rotaviruses. In: Fields Virology 3rd ed. Philadelphia, PA: Lippincott-Raven; 1996:1659.;Rotavirus Astrovirus Calicivirus: Norwalk virus, sapovirus Enterovirus: Coxsackie virus, echovirus, enteric adenovirus Coronavirus: torovirus;Death for rotavirus infection in children ﹤5y（‰）; Intraenteric infection---rotavirus ;Photo Credit : F.P. Williams, U.S. Environmental Protection Agency; Adapted from Parashar et al, Emerg Inft Dis 199814(4) 561–570;Bacillus coli  enteropathogenic E. coli ………………………EPEC enterotoxigenic E. coli …………………………ETEC enteroinvasive E. coli …………………………..EIEC enterhemorrhagic E. coli ………………