儿科学英文课件：Neonate Neonatal Diseases.pptx

1 Case 1 2 Male, G1P2 G32 weeks, brought to NICU 30 minutes after delivery because of grunting and cyanosis in room air. Birth wight:1400g, amniotic fluid: clear, normal placenta and umbilical cord. Apgar score 4 at 1 minute and 8 at 5 minutes. Preterm infant or term infant? Questions 3 By Gestational Age Term infant 37 weeks ≤ GA 42 weeks ( 259～293 days) Preterm infant GA 37 weeks ( 259 days ) Post-term infant GA ≥ 42 weeks ( ≥ 294天) 4 Classify this newborn by birth weight? Questions 5 By Birth Weight Birth weight (BW) Weight within 1 hour after birth Normal birth weight: 2500g ≤ BW ≤ 4000g Huge infant (macrosomia): ＞4000g Low-birth- weight (LBW): ＜2500g , no matter how long the gestational age is 6 By BW and GA Small for Gestational Age ( SGA) BW lower than the 10th percentile of the same GA Appropriate for Gestational Age (AGA) BW is between the 10th and 90th percentiles of the same GA Large for Gestational Age (LGA) BW Heavier than the 90th percentile of the same GA Curve of growth in fetus 7 Gestational Age : 32 wks BW : 1400g 8 Imp: Premature infant (32w, SGA), VLBWI Can you tell full Term and preterm infant from their appearance? Questions 9 Appearance of Full Term and Preterm Infant 7 signs: skin, hair, ear, nail, plantar, breast and genitals Full term Preterm Skin Abundant subcutaneous adipose, rare lanugo, cracking Red, gelatinous, edema, abundant lanugo Hair Abundant Fine, thinning Ear Ear stiff , thick cartilage Slightly curved pinna, soft Nail Reach or exceed finger tip and toe tip Unreached finger tip and toe tip Plantar Creases over entire sole Rare creases Breast Raised areola, Bud 4 mm No bud or bud 4mm Genitals (M) Testes down; good rugae (F) Majora cover clitoris and minora (M) Testes in upper canal or scrotum empty (F) Majora uncover clitoris and minora 10   足月儿 早产儿 皮肤 红润、皮下脂方丰满和毳毛少 鲜红发亮、水肿和毳毛多 头发 分条清楚 细、乱而软 耳壳 软骨发育好、耳舟成形和直挺 软、缺乏软骨和耳舟不清楚 指、趾甲 达到或超过指、趾端 未达到指、趾端 跖纹 足纹遍及整个足底 足底纹理少 乳腺 结节＞4mm 无结节或结节＜4mm