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评估儿童的矮身和高身高
Rebecca Caro1, Paul Savel1, Paul Isaiah Moss1
1Alexander T. Augusta Military Medical Center, Fort Belvoir, Virginia.
American family physician
|June 18, 2025
概括
低身高和高身高的评估包括病史,体检和生长图的绘图. 常见的原因包括宪法延迟或家庭因素,而罕见的原因需要专门的儿科内分泌学转诊.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 增长障碍 发展障碍 发展障碍
- 遗传学 遗传学 是一个
背景情况:
- 矮身被定义为身高低于平均值2个标准偏差以上的身高.
- 高身高被定义为身高高于平均值的2个标准偏差以上.
研究的目的:
- 概述了对于身高矮或高大的儿童的初始评估过程.
- 为了确定矮身和高身的常见和不常见病因.
- 建立儿童内分泌学转诊的标准.
主要方法:
- 综合患者病史和体检. 身体检查.
- 在生长图表 (CDC或WHO) 上绘制连续高度测量图.
- 计算成年人估计的身高,与中期父母的身高进行比较,并确定骨年龄.
- 选择性实验室检测和遗传评估.
主要成果:
- 矮身最常见的原因:成长和青春期的宪法延迟,家族矮身,异常矮身.
- 矮身的病理原因:营养缺乏,全身疾病,生长激素缺乏,遗传异常.
- 长身高的常见原因:体质上增长的进步,家族长身高,肥胖.
- 高身高的不常见原因:过早的青春期,马凡综合征,克莱因费尔特综合征.
结论:
- 最初的评估需要一个多方面的方法,包括生长监测和auxological评估.
- 异常性矮身需要转诊儿科内分泌学,以治疗潜在的基因或代谢疾病.
- 早期识别和管理对于优化增长结果至关重要.
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