Diarrhea新生儿腹泻ppt课件.ppt

manifestation Characteristics of clinical pathogen EIEC EPEC ETEC EGEC EAEC Onset season May~ August. → → → → latent period 18~24h 1~2 d 1~2 d Stool property Pus and blood Watery stool, mucous Watery stool, bloody Watery stool, General condition Fever, abdominal pain, balance disorder shock Stool routine A lot of WBC A few WBC A few WBC RBC A few WBC Pathogenic examine culture → → → → manifestation Characteristics of clinical pathogen Staphylococcal aureus Pseudomembranous fungus stool Dark green. False membrane Foam, … General condition Primary disease, infectious symptoms , Broad-spectrum antibiotic, immunosuppressant. Stool routine G+ coccus…. WBC, RBC hypha, spore. Pathogenic examine Stool culture Anaerobic culture Persisting and Chronic Diarrhea 1. Course of disease: 2W~2M: persisting 2M: chronic. 2. Malnutrition. 3. The etiology is complicated. 4. The state of illness is complex. Diagnosis 1.Primary diagnosis: according to history, epidemiological analysis, clinical manifestation and stool examine. etiologic diagnosis. 2. dehydration? 3. acidosis? 4. electrolyte balance disorder? 5. complication? Differential Diagnosis 1. physiologic diarrhea. 2. bacillary dysentery. 3. enteritis necroticans. 4. digestive disorders…. Treatment 1. modulation diet. 2. prevention dehydration, correction dehydration. 3. rational drug treatment. 4. increases nursing, prevention complication. Diet Treatment about Acute Diarrhea 1. To continue breast milk feeding. 2. In artificial feeding infant, dilute milk. 3. Fasting, 4~6h. 4. Special milk for virus enteritis. Drug Treatment about Acute Diarrhea 1. invasive enteritis: sensitivity antibiotic. stool culture, drug sensitivity. 2. virus enteritis: antiviral drugs. 3. enteritis evoked by antibiotics: stop using the antibiotic. Diet Treatment about Acute Diarrhea 4. microcological therapy. 5. intestinal mucosa protector. 6. traditional medicine. 7. vaccine: to preven