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Chronic Gastritis and Peptic Ulcer in Children

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Chronic Gastritis and Peptic Ulcer in Children (Chronic Gastritis) (Introduction) 1. – PowerPoint PPT presentation

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Title: Chronic Gastritis and Peptic Ulcer in Children


1
?????????????
  • Chronic Gastritis and Peptic Ulcer in Children

2
????(Chronic Gastritis)
  • ????(Introduction)
  • 1. ?????????????????
  • ???????????
  • 2. ??????????????,??
  • ???????????
  • 3.??????????????

3
  • ????
  • 1.???????
  • 2.???????
  • 3.??????
  • ????
  • 1.???????(Helicobacter Pylori , HP)
  • 2.????
  • 3.??????
  • 4.??
  • 5.????
  • 6.???????
  • 7.??

4
?????
5
?????
6
  • ??????
  • ???????????
  • (?)?????? ?? ?? ?????
  • (?)???????
  • (?)??????
  • (?)??????

7
  • ??????????
  • 1. ? ????? ????
  • 2. ?????
  • 3. X???
  • 4. HP????
  • (1)?????HP
  • ??????????????????
  • (2)???????HP
  • ??????? 13C??????
  • Hp ???
  • ?? NH4 CO2
  • (3)??HP??

8
??????
9
?????
10
?????
Hemorrhagic gastritis with multiple intramural
bleeding spots
Normal gastric mucosa
11
?????????????????
12
???????
13
???????
14
?????
The rugal folds of the body running
longitudinally towards the antrum.
Increased visibility of the antral vascular
pattern with findings compatible with chronic
athrophic gastritis associated with H. pylori
infection.
15
  • ?????????
  • ? ?
  • 1.??
  • 2.????
  • 3.?????????????
  • ????????
  • ???
  • ????

16
  • ????
  • ??????
  • 1.?HP????
  • 2.??????????
  • 3.??????,????????
  • ??????
  • ??????
  • 1. ????
  • 2. ??????
  • 3. ???
  • 4. ?????

17
?????Peptic Ulcer
  • ????
  • 1. ???????????????,?????
  • ????????????????
  • 2. ????????????
  • 3. ????????????????,????
  • ?,????????
  • 4. ??????
  • ???????(GU)???????(DU)
  • ????
  • ???????????????
  • ?????????????

18
?????????????
???? ?? ????
???? ??-????? ????(?????????
????) ?????
19
????
  • (1)??
  • ???? ??? ??
  • ???
  • H-K-ATP?
  • ??H????
  • H????

(2)???? ??? ?????
???? ??????????? ????
H????
????????
20
  • ????
  • 1. ??-?????
  • 2. ????
  • (?????????????
  • ???????????)
  • 3. ????
  • 1)???????????
  • 2)??????
  • 3)??????????????

21
?????????????
???? ??-????? ????(????????
????) ?????
???? ?? ????
????????????/????????,??????
HP (?? ) ??????

(???? ) ?? ????
(???? ) ??
???? (??? ) ????
(????? )
22
  • ??????
  • 1. ????????????
  • 2. ?????????????
  • 3. ??????????????????

23
  • ?????????
  • ????,??????????
  • ???????????
  • 1.????
  • ????????????
  • ???????????2-3?
  • ????????????????
  • 2.????(1??3?)
  • ????????????
  • ???????????????????
  • ??????????????????????
  • ?,??????,?????????
  • ??????

24
  • 3. ??????????
  • ????????????????????
  • 1)????
  • 2)???????????????????
  • 3)???????????????
  • 4)???????????

25
  • ????
  • ???????????????????????
  • ???????????
    /???????
  • ????????????
  • ?????
  • 1.??????????(?????)
  • 2.????????????
  • 3.??????????
  • 4.????????PU???DU????
  • 5.????????????????????
  • 6.?????????????
  • ?????
  • 1.?? 2.???? 3.Hp????

26
  • ????
  • ??????????????????????
  • ??????
  • ??????
  • (?)???
  • 1.H2?????
  • ???? 3-5mg/kg/d q12h(??)
    1-2?
  • ???? 10-15mg/kg/d ?3-4?
    1-2?
  • 2.??????
  • ????(???) 0.7mg/kg/d ???? 2-4?
  • ????

27
  • (?)??????
  • 1.???
  • 2.?????
  • 6-8mg/kg/d tid
    4-8?
  • (?)?Hp??
  • 1.???
  • 2.? ? ?? ??
  • 3.?HP???
  • 4.? ?

28
  • ?HP????
  • 1. ????????
  • (1)??????
  • CBS Amo Met
  • 68 50 2030 mg/kg
  • 4w 4w 2w
  • (2)????
  • CBS CLA Ful
  • 6-8 10 5-10 mg/kg/d
  • 2w 10d 10d
  • 2. ???????
  • PPI Amo CLA
  • 2w 1w 1w

29
  • ???????????
  • 1. ???? ????
  • H2?????????? ??4-8?
  • ??Hp?? ????????
  • 2. ????????????????
  • ?????HP????
  • ??????????? ??4-8?
  • ?????????????????1-2?
  • ??????

30
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