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The scope of pediatrics; Pediatrics is the study of growth and development of the child from the genetic background and moment of conception through adolescence.
It is the science and art of prevention, diagnosis, and treatment of the diseases of children from birth through adolescence, whether these disturbances be physical,
mental, or emotional. ; The most characteristic feature of pediatrics is that it deals with the growth and development of the child, comprising all those changes in size and form and in complexity of function that constitute growing up. ; 儿科学( pediatrics )是研究小儿各年龄阶段的生长发育和疾病防治,提高小儿身心健康水平的医学科学;fetal period
intrauterine life: embryonic and fetal period
first trimester first 12 wk
second trimester 13 ~ 28wk
third trimester 29 ~ 40wk; neonatal period after birth~ 4wk
perinatal period 28wk of gestation ~1wk after birth
infancy 4wk?? 1yr
Todlerhood 2nd yr ~ 3rd yr;preschool age 3 yr~6(7) yr
school age 6(7)yr~ 11(12)yr
adolescence 11 ~ 12yr--17 ~ 18yr(femal)
13 ~ 15yr---19 ~ 21yr(male);? 18yr in total population of children
and adult
developed countries 22.4%
developing countries 35.7%
china 30%
( UNCF 1999 )
? 18yr 400 million( china);Disparity in occurrence and progression of disease between children and adult;儿科学Pediatrics;生后1小时;;儿科学Pediatrics; nervous system
Kernig sign, Babinski sign
signs of meningeal irriatation
neonatal period Kernig sign, Babinski sign(+)
within 3~4m Kernig sign (+)
within 2yr Babinski sign (+) ; neonatal period rooting reflex, Moro reflex
infancy abdominal reflex (-) possible
tendon reflex ( ↑)
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