儿童矮小、厌食、多动症的临床探讨

Clinical study on children's short stature, anorexia and restless

中国城镇人口中儿童矮小发病率在 2 %左右 ,矮小、厌食、多动症是儿科和儿保门诊的常见病。 1 7年来 ,作者在长江流域长沙、南京等城市对数千例儿童调查摸索 ,包括家族史、体格测量、骨龄测定、胸片和腕片检查和多项生化检查 ,初步认定“少年型甲减”是我国大陆儿童导致矮小的重要原因。根据病儿的临床表现 ,作者提出“少年型甲减”的诊断标准、治疗方法与预后。根据多年的临床经验 ,作者提出通过口服甲状腺素片为主的综合疗法 ,经过 2～ 3年 ,病儿身高即可接近或达到同年龄。

The morbidity of short stature of children is approximately 2% in Chinese urban area Short stature,anorexia and restless are the common complaints in the pediatric clinic Since last 17 years, the author investigated several thousands of children in the Changsha, Nanjing city and so on along Changjiang River. The children's family history, physical scale, age of bone determination, sternum and wrist X ray and several biochemistry examination were investigated. According to the author's opinion,Juvenile hypothyroidism is the diagnosis of nearly half of the short stature children in China.The clinical symptoms,diagnostic criteria and therapeutic principle are also presented in the paper L thyroxine is the main medicine in the treatment of juvenile hypothyroidism After 2～3 years, the patient children's stature can near or reach the normal chilren's level with same age and sex. 〔