儿童胃炎英文PPT学习教案

1、会计学1儿童胃炎英文儿童胃炎英文2第1页/共33页3第2页/共33页4第3页/共33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

2、 hydrogen ions Shock, hydrocephalus, sudden trauma, serious infection, major operation, etc 第4页/共33页6第5页/共33页7 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6页/共3

3、3页8第7页/共33页9第8页/共33页10第9页/共33页11第10页/共33页12 Update Sydney System in 1996 Superficial Chronic Gastritis Atrophic Specific types第11页/共33页13第12页/共33页14第13页/共33页15H Pylori is considered to infect virtually all patients with chronic active gastritis and thought to be spread from person to person via oral

4、-oral and/or fecal-oral routes.第14页/共33页16第15页/共33页17第16页/共33页18第17页/共33页19vRapid urease test vUrea breath test(C13)vHistology vSerum Antibodies to HPvBacterial Culture vTesting for HP stool antigenvPolymerase chain reaction 第18页/共33页20Gastroendoscopic examinationHistory:Inappropriate dietary habits

5、, family history, medication taking, psychological stress第19页/共33页21EnterositeEnterospasmAbdominal epilepsy第20页/共33页22第21页/共33页23Choose one drug belowPPIOmeprazoleLansoprazoleBismuth preparationBismuth Subsalicylate Basic Choose two antibiotics belowAmoxicillinClarithromycinMetronidazoleFuraxoneTrip

6、le regimens第22页/共33页24v Prevention of duodenogastric Reflux. Doperidome Cisapridev Reducing gastric acid secretion. H2RT (for 4 weeks): Ranitiding Cimetidine PPI (for 2 weeks) Omeprazole Lansoprazole第23页/共33页25v Enhancing mucosal defense Bismuth compounds Sucrafatev Symptomatic treatment Atropine Be

7、lladonna第24页/共33页26第25页/共33页27第26页/共33页28Hemorrhagic gastritis with multiple intramural bleeding spots 第27页/共33页29Multiple papules in the antrum corresponding to lymphoid hyperplasia induced by Helicobacter pylori infection.第28页/共33页30Stomach mucosa diffusely covered with bile-stained mucus. 第29页/共33页31Gastric candidiasis with extensive green-white exudates covering the antrum. 第30页/共33页32Increased visibility of the antral vascular pattern with findings compatible with chronic athrophic gastritis associa