侏儒状态的临床特点(文献复习附6例报告)

On The Clinical Features Of Dwarfism(Documents review and presentation of 6 reports of the hospital cases)

本文通过文献复习及对6例侏儒状态的儿童(矮小症)临床特点的分析:生长速度身高每年增加4～6cm,实验室检查血红蛋白90～100g/L、血清钙和磷、硷性磷酸酶、T_3、T_4、TSH均正常范围,蝶鞍X线表现及骨核正常;1例出生时低体重儿。均为1岁后患缺铁性贫血。说明儿科临床遇到生长障碍,导致身材矮小又称侏儒的病例,不能只偏重考虑内分泌疾病的矮小,要关注由于出生低体重儿、铁缺乏与缺铁性贫血而导致的体型正常、生长速度正常的侏儒,进而说明围产医学和儿童保健是预防矮小症的前题。

Precis: Through document review and analysis of the clinical features of 6 dwarf children,it's found that a dwarf child's height increases by 4-6 cm each year. Laboratory tests show that Hb,which is 90-100g/L, tserium Ca and P, alkaline phospha-are, T3, T4, and TSH are normal. X rays show that Sella turcica and bone nuclei are also normal, One dwar was light-weighted when born, but the others were hindered from growing after they were one year old because of iron deficiency aneamia. The thesis stresses that attention should be paid not only to the dwarfs resulting from endocrine deseases but also to the dwarfs who were light-weighted when born and the dwarfs whose build and growth are normal. Medical science in obstetrics and child care are very necessary for the prevention of dwarfs.