儿童保健-生长发育-体格发育(英文).ppt

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CHILD GROWTH &DEVELOPMENT HU Yan Department of Primary Child Care Children’s Hospital Thus, since both processes are part of one whole, the combined terms growth and development form an unitary concept that indicates the quatitative and qualitative of maturational changes of an organism. Defining the classification of short stature Abnormal(Disproportionate) → A syndrome with short limbs(Achondroplasia, hypothyroidism,etc) Measurement error Normal Growth level Growth velocity Proportion of body Growth level Every single measurement can be plotted on a growth curve which illustrates the amount of growth in children within different age group. Results: <P3 P3-P97 >P97 Example:(Weight of girls) P3 P25 P50 P75 P97 1y~ 7.49 8.54 9.18 9.91 11.37 (kg) -2SD -1SD +1SD +2SD 1y~ 7.18 8.21 9.24 10.27 11.30 (kg) The weight of a one year old girl is 8.2 kg. Growth level: X X W/A P3-P25 W/A -(1SD~2SD) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 97 50 3 kg Weight,Girls eg:An infant at the 3rd percentile of weight for age Failing to grow Growing normally Recovering form growth failure Attention 1 Sexual Precocity:Secondary sexual characteristics appear before puberty. Girls<8y,Boys<10y Delayed sexual maturity: Secondary sexual characteristics do not appear after puberty Girls>14y,Boys>16y Skeleton development Dentition development Cranium:Fontanel Cranial suture Spinal development Bone development Cranial development Closure time of fontanel/suture Fontanel/suture At birth Time of closure Anterior fontanel 1.5-2cm

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