精品维生素D缺乏性佝偻病课件_10.ppt

中南大学湘雅三医院儿科 赵玲玲;纲 要;概述;概述;病因;病因;病因;临床表现;临床表现—初期;枕 秃;环 秃;临床表现—激期（活动期）;临床表现—激期（活动期）;颅骨软化;方 颅;方颅;;肋骨串珠;鸡 胸;漏斗胸;佝偻病手镯;佝偻病脚镯;O型腿;X型腿;蛙状腹;圆背;X线长骨片 骨骺端钙化带消失，呈杯口状、毛刷样改变，骨骺软骨带增宽;骨质稀疏，骨皮质变薄，可有骨干弯曲畸形或青枝骨折;临床表现—恢复期;12d;临床表现—后遗症期;;早期诊断;早期诊断-血钙、磷;早期诊断-碱性磷酸酶（ALP）;早期诊断-骨碱性磷酸酶（BALP）;早期诊断--血清25-(OH)D3;早期诊断--尿脱氧吡啶啉/肌酐检测;早期诊断--尿羟脯氨酸/肌酐检测;早期诊断-骨矿含量及骨密度;早期诊断—X线;早期诊断—超声检查;早期诊断—小结;鉴别诊断;鉴别诊断;鉴别诊断;鉴别诊断;鉴别诊断;鉴别诊断;鉴别诊断;鉴别诊断;鉴别诊断;预防—措施;治 疗;治 疗;治疗—常见制剂简介;治疗—常见制剂简介;治疗—常见制剂简介;治疗—常见制剂简介;治疗—钙剂简介;治疗—钙剂简介;注意事项—概念的辨析;注意事项—避免误区;注意事项—维生素A中毒;注意事项—维生素A中毒;注意事项—维生素A中毒;注意事项—维生素A中毒;注意事项—维生素D中毒;注意事项—维生素D中毒;注意事项—维生素D中毒;注意事项—维生素D中毒;注意事项—补钙;谢 谢！;fRjUmXp!sv)z0C4F7IaMdPgSkVnZq$t*x-A1D5G8KbNeQiTlWo#r%v(y+B3E6H9LcOgRjUmYp!sw)z1C4F7JaMdPhSkVnZq$u*x-A2D5G8KbNfQiTlXo#r%v(y0B3E6I9LcOgRjVmYp!tw)z1C4G7JaMePhSkWnZr$u*x+A2D5H8KcNfQiUlXo#s%v)y0B3F6I9LdOgRjVmYq!tw-z1C4G7JbMePhTkWnZr$u(x+A2E5H8KcNfRiUlXp#s%v)y0C3F6IaLdOgSjVnYq!t*w-z1D4G8JbMeQhTkWoZr$u(x+B2E5H9KcNfRiUmXp#sv)y0C3F7IaLdPgSjVnYq$t*w-A1D4G8JbNeQhTlWoZr%u(y+B2E6H9KcOfRjUmXp!sv)z0C4F7IaMdPgSkVnYq$t*x-A1D5G8JbNeQiTlWo#r%u(y+B3E6H9LcOfRjUmYp!sw)z0C4F7JaMdPhSkVnZq$u*x-A2D5G8KbNfQiTlXo#r%v(y+B3E6I9LcOgRjUmYp!tw)z1C4F7JaMePhSkWnZq$u*x+A2D5H8KbNfQiUlXo#s%v(y0B3F6I9LdOgRjVmYq!tw-z1C4G7JaMePhTkWnZr$u*x+A2E5H8KcNfQiUlXp#s%v)y0B3F6IaLdOgSjVmYq!t*w-z1D4G7JbMeQhTkWoZr$u(x+B2E5H9KcNfRiUmXp#sv)y0C3F6IaLdPgSjVnYq!t*w-A1D4G8JbMeQhTlWoZr%u(x+B2E6H9KcOfRiUmXp!sv)z0C3F7IaMdPgSkVnYq$t*x-A1D5G8JbNeQhTlWo#r%u(y+B2E6H9LcOfRjUmXp!sw)z0C4F7IaMdPhSkVnZq$t*x-A2D5G8KbNeQiTlXo#r%v(y+B3E6I9LcOgRjUmYp!tw)z1C4F7JaMdPhSkWnZq$u*x-A2D5H8KbNfQiTlXo#s%v(y0B3E6I9LdOgRjVmYp!tw-z1C4G7JaMePhTkWnZr$u*x+A2E5H8KcNfQiUlXo#s%v)y0B3F6I9LdOgSjVmYq!tw-z1D4G7JbMePhTkWoZr$u(x+A2E5H9KcNfRiUlXp#sv)y0C3F6IaLdPgSjVnYq!t*w-z1D4G8JbMeQhTkWoZr%u(x+B2E5H9KcOfRiUmXp#sv)z0C3F7IaLdPgSkVnYq$t*w-A1D5G8JbNeQhTlWo#r%u(y+B2E6H9LcOfRjUmXp!sv)z0C4F7IaMdPgSkVnZq$t*x-A1D5G8KbNeQiTlWo#r%v(y+B3E6H9LcOgRjUmYp!sw)z1C4F7JaMdPhSkWnZq$y+B2E6H9KcOfRjUmXp!sv)z0C4F7IaMdPgSkVnZq$t*x-A1D5G8KbNeQiTlWo#r%v(y+B3E6H9LcOgRjUmYp!sw)z1C4F7JaM