(儿科学英文课件）02 A growth讲解材料.pptVIP

H.C. growth with age 2013七年制-* Patterns of H.C. Growth 2. 1st growth spurt: 1st year of life 1. Different growth rate in different age 2013七年制-* 2013七年制-* 5.chest circumference Comparison between C.C.and H.C cm Physical Growth in Puberty 2013七年制-* When does the puberty begin? Secondary sexual characteristics appear Girls begin at age 9~11. Boys begin at age 11~13. Sexual Precocity性早熟： Secondary sexual characteristics appear Girls8y，Boys9y Delayed sexual maturity性晚熟： Secondary sexual characteristics do not appear : Girls14y，Boys16y 2013七年制-* adolescence Girls begin at age 9~11, Boys begin at age 11~13. individual variation is substantial身体变化很大 the 2nd growth spurt 第2个生长高峰(Peak of height velocity, PHV) in the average girls, the growth spurt peaks at 11.5 yr at 8.3 cm / yr In the average boy, the growth spurt peaks at13.5 yr at 9.5 cm / yr. Slowing physical changes permit the emergence of a more stable body image. 2013七年制-* 2013七年制-* Learning objectives Patterns of physical growth before puberty and in puberty Other indices of physical growth 2013七年制-* Cranium Spine Long bone growth (physical development) development W(weight) gain linear growth H.C.(head circumference)growth C.C.(chest circemference)growth ... skeletal maturation dental development sex maturation 2013七年制-* Anterior Fontanel前囟 Size: 1.5-2cm at birth Closure time: 24mo 2013七年制-* Posterior Fontanel后囟 Size: 0~0.5cm at birth Closure Time: 6~8weeks 2013七年制-* Small size or early closure： Abnormality of anterior fontanel前囟异常 Microcephaly小头,etc Hydrocephalus脑积水 ,etc Large size or delayed closure： 2013七年制-* Intracranial hypertension颅内压增高 ( Encephalitis脑炎, Meningitis脑膜炎,etc) Dehydration脱水 Bulging fontanel囟膨隆： Sunken fontanel 囟门凹陷： Abnormality of anterior fontanel 2013七年制-* Spinal development脊柱发育 2013七年制-* Growth Lecturer LIU Xiao Dept. of Primary Child Health Care CHCMU 2013七年制-* Growth an increase in the number and size of cells; results in increased size and weight of the whole or