儿童生长发育【儿科学教研室】.ppt

儿 童 生 长 发 育 ;新生儿期 (0~28d) 婴儿期 (0~1y) 幼儿期 (1y~3y) 学龄前期 (3y~6y) 学龄期 (6y~12y) 青春期 (12~18y);精品资料; 你怎么称呼老师？ 如果老师最后没有总结一节课的重点的难点，你是否会认为老师的教学方法需要改进？ 你所经历的课堂，是讲座式还是讨论式？ 教师的教鞭 “不怕太阳晒，也不怕那风雨狂，只怕先生骂我笨，没有学问无颜见爹娘 ……” “太阳当空照，花儿对我笑，小鸟说早早早……”; ;Definition Rules of the growth development Physical growth Neuro-psychological development;Definition Rules of the growth development Physical growth Neuro-psychological development;Growth 生长 各器官、系统、身体的长大，量的变化，可以用度量衡测定，有相应的测量值 ;Development 发育 指细胞、组织、器官功能上的分化与成熟，机体质的变化，包括情感—心理的发育成熟过程，不能用数量指标来衡量;GROWTH DEVELOPMENT;A continuous process 连续性 Imbalance between different systems 不均衡性 General rules of development 普遍规律 Interpersonal difference 个体差异性;;;General rules of development一般规律;General rules of development;General rules of development;General rules of development;Affecting Factors of Physical Growth ;GROWTH DEVELOPMENT;Common parameters methods Body weight 体重 Body length/Stature 身高∕身长 Head circumference头围 Body mass index体重指数 Related Systems Growth Osseous development骨骼发育 Dental development牙齿发育;Body weight 体重; ;Body weight 体重;About formulae ;Body length/stature 身高∕身长;Linear Growth;; ＜3yrs (crown-rump length) Criterion of skull spine growth SH/BH at birth 0.67 14 years 0.53 下肢增长速度随年龄增长而加快;顶臀长∕坐高 Crown-rump Length/Sitting height ;Differential diagnosis of short stature;头围 Head circumference ;;Head circumference;Small —;胸围 Chest Circumference;上臂围 Upper Arm Circumference;Body Mass Index（BMI）;;Growth Curves;Growth Charts published online ();+2SD;;Normal;Normal;Descending;;;; ; 前囟 Anterior Fontanel; Small size or early closure：;;抬头; ; Endochondral软骨内: Length Intramembranous膜内: Width;1-9yrs ossific center＝age(yrs) +1 骨龄：骨化中心与标准图谱比较，相当于某一年龄标准图谱时，该年龄即为骨龄 “头钩桡三三岁前，月舟大小幼儿圆，尺骨远端小学时，青春之前豆骨见” ;;;Delayed eruption– 13m Idiopathic 原发性, Hypothyroidism甲低,etc Crowding or Disorder – Hypothyroidism甲低, Brain dysplasia脑发育不良,etc Fa