精品维生素D缺乏性佝偻病课件_7.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！;v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)vs!pXmUjRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0z)vs#pXmUiRfOcK9H5E2B+x(u%rZoWkThQeMbJ8G4D1z-w*t!qYnVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZoWkThPeMbJ7G4D1z-wt!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)wt!pYmVjRgOdL9I6E3B0y(v%sWkThPeMbJ7G4D1z-wt!qYmVjSgOdL9I6F3B0y)v%s#oXlUiQfNcK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z-wt!pYmVjRgOdL9I6E3B0y(v%s#oXlTiQfNbK8H5D2A-x*u$qZnWkShPdMaJ7F4C1z)ws!pYmUjRgOcL9H6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaI7F4C0z)ws!pXmUjRfOcL9H6E2B+y(u%r#oWlThQeNbJ8G5D1A-w*t$qYnVkSgPdLaI7F3C0z)vs!pXmUiRfOcK9H6E2B+x(u%rZoWlThQeMbJ8G4D1A-w*t!qYnVjSgPdLaI6F3C0y)vs#pXlUiRfNcK9H5E2A+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3B0y)v%s#pXlUiQfNcK8H5E2A+x*u$rZnWkThPeMaJ7G4C1z-wt!pYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$qZnWkShPeMaJ7F4C1z)wt!pYmUjRgOcL9I6E3B+y(v%r#oXlTiQeNbK8G5D2A-x*t$qZnVkShPdMaJ7F4C0z)ws!pYmUjRfOcL9H6E3B+y(u%r#oWlTiQeNbJ8G5D1A-x*t$qYnVkSgPdMaI7F3C0z)vs!pXmUiRfOcK9H6E2B+y(u%rZoWlThQeNbJ8G4D1A-w*t$qYnVjSgPdLaI7F3C0y)vs#pXmUiRfNcK9H5E2B+x(u$rZoWkThQeMbJ7G4D1z-w*t!qYmVjSgOdLaI6F3C0y)v%s#pXlUiRfNcK8H5E2A+x(u$rZnWkThPeMbJ7G4C1z-wt!qYmVjRgOdL9I6F3B0y(v%s#oXlUiQfNbK8H5D2A+x*u$rZnWkShPeMaJ7G4C1z)wt!pYmVjRgOcL9I6E3B0y(v%r#oXlTiQfNbK8G5D2A-x*u$qZnVkShPdMaJ7F4C0z)ws!pYmUjRgOcL9H6E3B+y(v%r#oWlTiQeNbK8G5D1A-x*t$qZnVkSgPdMaI7F4C0z)vs!pXmUjRfOcK9H6E2B+y(u%rkShPdMaJ7F4C1z)w