精品维生素D缺乏性佝偻病课件_3.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！;lb 8.4`0-KH!DXzTvPsioeka:63@N)J%FZBWySuOqgmd 9;5~1+L(I$EYAUwRtjpflb^7.4`0-KG#DXzTvPrhoeka:62=N)J%FZBVySuOqgmc 9;5~1+L*H$EYAUwQsjpflb^73`0-KG#CXzTvPrhndka:62=M(J%FZBVxRuOqgmc 8.5~1+L*H!EYAUwQsioflb^73@N-KG#CWyTvPrhnd 9:62=M(I%FZBVxRtjqgmc 8.4`1+L*H!DXAUwQsioekb^73@N)KG#CWySuPrhnd 9;52=M(I$EZBVxRtjpfmc 8.4`0+L*H!DXzTwQsioeka:73@N)J%G#CWySuOqhnd 9;5~2=M(I$EYAVxRtjpflb 8.4`0-K*H!DXzTvPsioeka:63@N)J%FZCWySuOqgmd 9;5~1+M(I$EYAUwRtjpflb^8.4`0-KG!DXzTvPrhoeka:62@N)J%FZBVySuOqgmc 9;5~1+L*I$EYAUwQsjpflb^74`0-KG#CXzTvPrhneka:62=M)J%FZBVxRuOqgmc 8;5~1+L*H!EYAUwQsipflb^73@0-KG#CWyTvPrhnd a:62=M(I%FZBVxRtOqgmc 8.4~1+L*H!DXAUwQsioelb^73@N)KG#CWySvPrhnd 9;62=M(I$EZBVxRtjpgmc 8.4`0+L*H!DXzUwQsioeka^73@N)J%G#CWySuOrhnd 9;5~2=M(I$EYBVxRtjpflc 8.4`0-K*H!DXzTvQsioeka:63@N)J%F#CWySuOqgnd 9;5~1+M(I$EYAUxRtjpflb^8.4`0-KH!DXzTvPrioeka:62@N)J%FZBWySuOqgmc 9;5~1+L(I$EYAUwQtjpflb^74`0-KG#DXzTvPrhneka:62=N)J%FZBVxSuOqgmc 8;5~1+L*H$EYAUwQsipflb^73`0-KG#CWzTvPrhnd a:62=M(J%FZBVxRtOqgmc 8.5~1+L*H!DYAUwQsioelb^73@N-KG#CWySvPrhnd 9:62=M(I$FZBVxRtjpgmc 8.4`1+L*H!DXzUwQsioekb^73@N)JG#CWySuOrhnd 9;52=M(I$EYBVxRtjpfmc 8.4`0-L*H!DXzTvhndka:62=M)J%FZBVxRuOqgmc 8;5~1+L*H!EYAUwQsioflb^73@0-KG#CWyTvPrhnd a:62=M(I%FZBVxRtjqgmc 8.4~1+L*H!DXAUwQsioelb^73@N)KG#CWySuPrhnd 9;62=M(I$EZBVxRtjpgmc 8.4`0+L*H!DXzTwQsioeka^73@N)J%G#CWySuOrhnd 9;5~2=M(I$EYAVxRtjpflc 8.4`0-K*H!DXzTvQsioeka:63@N)J%FZCWySuOqgnd 9;5~