《儿科学精品教学资料》生长发育.pdfVIP

GROWTH AND DEVELOPMENT 生长发育 上海交通大学医学院附属上海儿童医学中心 发育行为儿科 (Developmental and Behavioral Pediatrics) 章依文 zhangyiwen@ Normal or Abnormal? 1. 8 month, boy, head circumference 43.1cm ， microcephaly ？ 2. 9 month, girl，no first tooth 3. 15 month, girl，weight 13.2kg，obesity ？ 4. 12 month, boy ，can not sit alone    5. 9 month baby shows no interests and  attention in playing beads. Why? 猜 猜 How Old? 我 多 大 ？ REGULAR PATTERN OF GROWTH AND DEVELOPMENT • A continuous and periodic process • Different rate of development in various systems • General pattern  up→down  nearby →remote  rough→fine  low level→high level  simple→complicated • Individual variance A continuous and periodic process Different rate of development in various systems FACTORS OF GROWTH AND DEVELOPMENT • Genetics • Gender • Endocrine • Pregnant condition • Nutrition • Living environment • Diseases environment + genetics PHYSICAL GROWTH weight newborn 1 to 6 mon birth weight≌3kg W(kg)= birth weight(kg)+month ×0.7 (kg) 7 to 12 mon W(kg)=6 (kg)+month ×0.25 （kg ） 2 to 12 yrs W(kg)=yrs ×2 (kg)+7 or 8 （kg ） WEIGH GAIN Compare with age weight(kg) gain （kg ） BW (times) birth 3 3mon 6± 3 1 12mon 9±