(儿科学课件）01.1overviewofpediatrics知识讲稿.pptVIP

1 Overview of Pediatrics Dr. Yan Hu Dept. of Child Health Care Children’s Hospital Chongqing Medical University 2 Pediatrics Pediatrics is the sole discipline concerned with all aspects of the well-being of infants, children, and adolescents, including their health; their physical, mental, and psychologic growth and development; and their opportunity to achieve full potential as adults. (Nelson’s Textbook of Pediatrics) 3 History of Pediatrics Hippocrates(c.400 BC) Germany: Society for Infant Therapeutics USA: Dr. Abraham Jacobi(1830~1919) American Academy of Pediatircs(1930) China: Dr. Futang Zhu(1899~1994) Practical pediatrics1943 4 Objective List the stage of children by age 5 Outline Characteristics of pediatrics Stage of children by age Scope of pediatrics Challenge to pediatricians 8 Anatomy Eg: 9 Physiology At birth 5yr 15yr adult PR （/min） 140 100 70 60~70 RR （/min） 40 25 20 20 Eg1: Eg2: Immature immunity 10 Pathology lobar pneumonia bronchopneumonia Eg: Streptococcus infection Young Child Adult 11 Clinical difference eg： Type of disease: congenital, infectious Manifestation: changeable, atypical Diagnosis: Treatment: Prognosis: less sequela occurrence Prevention 12 Children are not little adults! 13 Association between pediatrics adult medicine DOHaD (Developmental Origins of Health Disease) Child behavioral problem adult offence Eg: 14 Outline Characteristics of pediatrics Stage of children by age Scope of pediatrics Challenge to pediatricians 15 16 Stages of children by age FETUS INFANCY TODDLER PRE-SCHOOL SCHOOL CHILDREN ADOLESCENCE Children:0~18yr 17 Fetal Period From fertilized ovum formed until to delivery ( about 40 weeks ) 18 Embryo: 0-8 ws Middle fetus: 9-28 ws Late fetus: 29-40 ws Fetal period Embryonic period Fetal Period 20 After delivery until 1year old Neonate （0~28days） Perinata