精品维生素D缺乏性佝偻病课件_4.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！;aReUiYl$p*t+w~A.D1H4L8OcSfWjZn%q)u=xB;F2I6M9QdThXk!or-v@zC0G3K7NbReViYl$p*t+w~A.E1H5L8PcSgWjZn%q)u=yB:F2J6MaQdThXk!os-v`zD0G4K7NbReViYm$p(t+x~A;E1H5L8PcSgWj#n%r)u@yC:F2J6MaQdUhXl!o*s-w`zD0G4K7ObRfViZm$q(t+x~A;E1I5L9PcTgWk#n%r)u@yC:F3J6NaQeUhYl!o*s-w`z.D0H4K8ObSfViZm$q(t=x~B;E2I5M9PcTgWk#nr)v@yC:G3J6NaQeUhYl!p*s+w`A.D1H4K8ObSfVjZm%q(u=xB;E2I5M9PdTgXk#or-v@yC:G3J7NaReUiYl$p*s+w`A.D1H4L8OcSfWjZn%q(u=xB;F2I6M9QdThXk#or-v@zC0G3K7NbReUiYl$p*t+w~A.E1H5PdTgXk#or-v@yC:G3J7NaReUiYl$p*s+w`A.D1H4L8OcSfWjZm%q(u=xB;F2I6M9QdThXk#or-v@zC0G3K7NbReUiYl$p*t+w~A.E1H5L8OcSfWjZn%q)u=yB:F2I6M9QdThXk!os-v`zC0G3K7NbReViYm$p(t+x~A.E1H5L8PcSgWj#n%r)u=yB:F2J6MaQdUhXl!os-v`zD0G4K7ObRfViYm$p(t+x~A;E1I5L9PcTgWj#n%r)u@yC:F3J6NaQdUhXl!o*s-w`z.D0H4K7ObRfViZm$q(t=x~B;E1I5L9PcTgWk#nr)v@yC:F3J6NaQeUhYl!p*s+w`z.D0H4K8ObSfVjZm%q(t=x~B;E2I5M9PdTgXk#nr)v@yC:G3J7NaReUiYl!p*s+w`A.D1H4L8OcSfVjZm%q(u=xB;F2I6M9PdTgXk#or-v@zC0G3J7NaReUiYl$p*t+w~A.E1H4L8OcSfWjZn%q)u=yB;F2I6M9QdThXk!os-v@zC0G3K7NbReViYm$p*t+w~A.E1H5L8PcSgWj#n%q)u=yB:F2J6MaQdUhXk!os-v`zD0G4K7ObReViYm$p(t+x~A;E1I5L8PcSgWj#n%r)u@yC:F3J6MaQdUhXl!o*s-w`z.D0G4K7ObRfViZm$q(t=x~A;E1I5L9PcTgWk#nr)u@yC:F3J6NaQeUhYl!p*s-w`z.D0H4K8ObSfVjZm$q(t=x~B;E2I5M9PdTgWk#nr)v@yC:G3J7NaQeUhYl!p*s+w`A.D1H4L8ObSfVjZm%q(u=xB;F2I5M9PdTgXk#or-v@zC:G3J7NaReUiYl$p*t+w`A.D1H4L8OcSfWjZn%q)u=xB;F2I6M9QdThXk!or-v@zC0G3K7NbReViYl$p*t+w~A.E1H5L8PcSfWjZn%q)u=yB:F2JReUiYl$p*t+w