上海交通大学：《儿科学》课程PPT教学课件（讲稿，双语版）第四讲 儿童生长发育

GROWTH AND DEVELOPMENT 儿童生长发育

GROWTH AND DEVELOPMENT 儿童生长发育

REGULAR PATTERN OF GROWTH AND DEVELOPMENT ◆ A continuous process e Different rate of development in various systems ◆ General pattern ◆ Individual variance Puberty 13 yr(F)/15yr(M)

REGULAR PATTERN OF GROWTH AND DEVELOPMENT  A continuous process  Different rate of development in various systems  General pattern  Individual variance  Puberty 13 yr (F)/15yr(M)

Different rate of development in various systems 1a2 P LYMPHOID 33 brain HeaD GENERAL REPRODUCTIVE 森G二二森R

Different rate of development in various systems

FACTORS OF GROWTH AND DEVELOPMENT ◆ Genetics ◆ Gender ◆ Endocrine ◆ Pregnant condition ◆ Nutrition ◆ Living environment ◆ diseases

FACTORS OF GROWTH AND DEVELOPMENT  Genetics  Gender  Endocrine  Pregnant condition  Nutrition  Living environment  diseases

20 18 身高 女 68101214161820 年龄(岁) 图2-1横断面调查的男女身高、 体重发育速度曲线

O PHYSICAL GROWTH ight weigl newborn ≌3kg 1 to 6 mon) W(kg)=newborn weight(kg)+month X 0.7(kg) to 12 mon W(kg)=6(kg)+month X0. 25(kg) 2 to 12 vrs w(kg=yrs X2(Kg)+7 or8(kg)

PHYSICAL GROWTH ≌3kg W(kg)=newborn weight (kg)+month×0.7 (kg) W(kg)=6 (kg)+month×0.25 （kg） W(kg)=yrs ×2 (kg)+7 or 8 （kg） weight newborn 1 to 6 mon 7 to 12 mon 2 to 12 yrs

O PHYSICAL GROWTH Height newborn 50cm 125cm 2-12rs cm=ys×7+70(cm

PHYSICAL GROWTH Height newborn 0-1yr 2-12yrs 50cm ↑25cm H (cm)= yrs×7+70 (cm）

O PHYSICAL GROWTH Head circumference (HC newborn 34cm vI 46cm 2 48cm Syr 50cm

PHYSICAL GROWTH 1yr newborn 5yr 2yr Head circumference (HC) 34cm 46cm 48cm 50cm

O PHYSICAL GROWTH Chest circumference(CC) Newborn 32cm 46cm CC=HC

PHYSICAL GROWTH Chest circumference (CC) Newborn 32cm 1yr 46cm CC=HC

O PHYSICAL GROWTH o Skeleton development ~1.5yr Anterior fontanne closure Teeth development first tooth mon Deciduous teeth 20 30mon

PHYSICAL GROWTH Skeleton development Teeth development first tooth Deciduous teeth 20 30mon 6mon Anterior fontannel 1~1.5 yr closure