儿童慢性胃炎 (英文七年制).ppt

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儿童慢性胃炎 (英文七年制).ppt

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ChronicGastritisinChildren

IntroductionChronicgastritisisachronicinflammationofthegastricmucosacausedbylong-termorrepeatedharmfulfactorsChronicgastritisisacommondiseaseoftheupperdigestivetractinchildhoodThemaindiagnosicmethodaregastroscopyandpathologicalexamination4

Classification1.Chronicsuperficialgastritis(CSG):90-95%2.Chronicatrophicgastritis5

EtiologyInfectionofHelicobacterPylori(HP)6

HelicobacterPylori(HP)7

HelicobacterPylori(HP)8

InfectionofHelicobacterPylori(HP)9

Etiology1.InfectionofHelicobacterPylori(HP)2.Bilereflux3.ThefurtherdevelopmentofacutegastritisBadeatinghabitsorimproperdietAdversereactionofmedicineNon-steroidalanti-inflammatorydrugsNSAIDsCortisone,etc.foodallergy4.OthersneuropsychiatricfactorsStress,fatigueoroverworkchronicdiseasesgeneticfactors10

Theseverityisvarying.Thecourseisvarying1.Recurrentabdominalpainrecurrentlackofregularityintensitylocationtherelationshipwithdiet2.Otherdyspepsiasymptoms3.Growthstunted4.UppergastrointestinalbleedingClinicalmanifestationsTheyoungerthechildren,thelesstypicalofabdominalpain11

1.GastroscopethefirstchoiceforexaminationthebasisofdiagnosisExamination12

Normalgastricmucosa13

EdemaofgastricmucosaNormalgastricmucosa14

HemorrhagicgastritisHemorrhagicgastritiswithmultipleintramuralbleedingspotsNormalgastricmucosa15

LymphatichyperplasticnoduleinantrumofstomachcausedbyHPNormalgastricmucosa16

GastritiscausedbybilerefluxNormalgastricmucosa17

Chronicantralgastritis18

19Candidaalbicansinfection

1.Gastroscopethefirstchoiceforexaminationthebasisofdiagnosis2.PathologicalexaminationofgastricmucosaChronicsuperficialgastritis(CSG)Chronicatrophicgastritis3.BariummealX-rayexamination4.BacteriologicalexaminationforHPinfectionbacterialculturet