文档介绍:General introduction
Classification
Predisposing factor
Etiology
Pathogenesis
Clinical manifestations
Clinical features of several common enteritis
Persistent diarrhea
Diagnosis
Differential Diagnosis
Treatment
Content
General introduction
Concept common disease in childhood
frequency and characters of stool
Ages 6m~2y 50% <1y
Seasons viral origins—late autumn and spring beginning bacterial origins—summer
noninfectious diarrhea— every season
Multiple sources and factors
General introduction
Classification
Predisposing factor
Etiology
Pathogenesis
Clinical manifestations
Clinical features of several common enteritis
Persistent diarrhea
Diagnosis
Differential Diagnosis
Treatment
Content
Causes
Course
Degree
Infectious diarrhea: virus,
bacterium, fungi, parasites
Noninfectious diarrhea: diet,
weather, others
Acute:<2w
persistent:2w2m
chronic:>2m
Mild: the times of stool
and character change
Severe: accompany dehydration, electrolytes
abnormality and general toxicity symptoms
Classification
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-1
Development of infancy digestive system : not mature
Predisposing factor-2
Defense system: not mature
Three defense system ( ): microflora, epithelium, immunity
Grow and develop , demand for nutrients , burden of the stomach and intestines , easy to indigestion.
Artifical feeding: enteritis morbility 10 times higher
than breast feeding.
milk: nutritional ingredient destroyed
milk tool: disinfection.
Predisposing factor-3&4
3
4
The lower level of serum immunoglobulin