儿童胃炎英文.pptxVIP

儿童胃炎英文第1页/共34页 2 Gastritis Acute Gastritis Chronic Gastritis第2页/共34页 3Acute Gastritis第3页/共34页 4 Diffination Etiology Pathogenesis PathologyAcute gastritis第4页/共34页 5Food and Drugs: Severe stress state:Acute infection: Corrosive substances:Vagal stimulationAcid secretionRelease of vasoactive amine and cytokinesMicrocirculation disdurbanceGastric mucosal ischemiaImpairment of mucosal and mucous barriersBack-diffusion of hydrogen ions Shock, hydrocephalus, sudden trauma, serious infection, major operation, etc Acute gastritisEtiology Pathogenesis第5页/共34页 6 ManifestationsA sudden onsetTypical manifestations: epigastric pain, nausea, vomiting, watery diarrheaFever: caused by bacterial infection or its toxinsComplications: dehydration, electrolyte disturbances, acid-base imbalance, UGI bleedingAcute gastritisManifestations第6页/共34页 7Diagnosis Acute simple gastritis Historysymptoms and signsGI endoscopy Biopsy (if necessary)Acute gastritis Diffusive hyperemia and edema of the gastric mucosa Acute inflammation: neutrophilic infiltration in the lamina propriaMay accompanied with punctate hemorrhage and mild corrupt lesion第7页/共34页 8A. Remove of offending agents Quit all irritants or stimulus: drugs, alcohol Management of the original diseasesB. Symptomatic treatment 1)Replacement of fluid and electrolyte loss 2)Spasmolysant: Atropine, Belladonna 4)Antiemetic drugs: Domperidone 3)Special management for upper GI bleedingC. Protection of gastric mucosa and inhibition of gastric acid Mucosal protector Antacids: H2-RA, PPITreatment Acute gastritis第8页/共34页 9Chronic gastritis第9页/共34页 10The top two reasons for recurrent abdominal pain in children are chronic gastritis PUDAn estimated 10% school age children is affected by recurrent abdominal pain.第10页/共34页 11By 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