【2011苗圃执考笔记】儿科第2讲（[2011 nurseries will take notes] paediatrics 2）.docVIP

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【2011苗圃执考笔记】儿科第2讲（[2011 nurseries will take notes] paediatrics 2）.doc

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【2011苗圃执考笔记】儿科第2讲（[2011 nurseries will take notes] paediatrics 2）

【2011苗圃执考笔记】儿科第2讲（[2011 nurseries will take notes] paediatrics 2） Practice physician exam BBS Vitamin D deficiency rickets at Vitamin D deficiency rickets is due to vitamin D deficiency in the body. A, causes Vitamin D deficiency in breast milk contains less vitamin D The sun is not shining well (the problem is illustrated in the winter now) 3. The need for vitamin D increases 4. Low or low content of calcium and phosphorus in food The effects of disease and drugs Second, clinical manifestation Clinically, it is divided into early stage, exciting period, recovery period and sequelae stage. 1. The early (early) mainly for increased nerve excitability, irritability, restlessness, disturbed sleep, night terrors, sweat (has nothing to do with the seasons) a pillow bald (agitated and head sweat to babies often shake head to wipe a pillow) 2. The main expression of the phase of the active period is bone change. Before the age of 1: (1) the most typical form of skull softening occurs as early as 3 to 6 months (as in table tennis, it is very soft. This is the period of excitation) (2) the craniocranial brain is more common in children aged 7-8 months due to osteoid hyperplasia (3) hands, anklets: after the craniocranium, children over 6 months old After the age of 1: (4) the anterior fontanelle was closed and the normal anterior fontanelle closed 1-1.5 years (5) teething delay (6) the thoracic deformity was born in children aged around l years, with a rib bead, a rib cage, a chicken breast or a funnel chest. (7) deformities of the lower extremities: children who have been able to walk in the age of l, such as o shaped legs or X legs (8) the blood biochemical and X-ray showed a slight decrease in serum calcium, the blood phosphorus was significantly reduced, and the product of calcium phosphorus was usually lower than 30, and the alkaline phosphatase was significantly higher. The X line shows the temporary calcification zone of the epiphyseal epiphysis, which is blurred or