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儿科学

儿科学. （ pediatrics）. The scope of pediatrics. 儿科学. 理论课 35 学时 见习课 25 学时 主讲教师 8 位 见习带教教师 王廉文 钱继红. 儿科学 Pediatrics. The scope of pediatrics. The scope of pediatrics. Key points. Characteristic feature of pediatrics

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儿科学

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  1. 儿科学 （ pediatrics）

  2. The scope of pediatrics 儿科学 理论课 35学时 见习课 25学时 主讲教师 8位 见习带教教师 王廉文 钱继红 儿科学Pediatrics

  3. The scope of pediatrics

  4. The scope of pediatrics Key points Characteristic feature of pediatrics Stage of children by age Tasks of pediatrics

  5. 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.

  6. The scope of pediatrics 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.

  7. The scope of pediatrics Stage of children by age fetal period intrauterine life: embryonic and fetal period first trimester first 12 wk second trimester 13 ～28wk third trimester 29 ～40wk 儿科学Pediatrics

  8. The scope of pediatrics Stage of children by age neonatal period after birth～4wk perinatal period 28wk of gestation ～1wk after birth infancy 4wk～1yr Todlerhood2nd yr ～3rd yr 儿科学Pediatrics

  9. The scope of pediatrics Stage of children by age 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) 儿科学Pediatrics

  10. The scope of pediatrics <18yr in total population of children and adult developed countries 22.4% developing countries 35.7% china 30% ( UNCF 1999 ) <18yr 400 million( china) 儿科学Pediatrics

  11. The scope of pediatrics There are differences for these various age levels in ⑴ Function of various organ system; (2) Degree of immunity to disease; (3) Response to the effects of disease; (4) Drug dosages and tolerance to drugs; (5) Mental and motor ability, and (6) Pattern of emotional response. 儿科学Pediatrics

  12. The scope of pediatrics Disparity in occurrence and progression of disease between children and adult disparity in anatomy, physiology, and immunologic function between children and adult. the younger, the more different 儿科学Pediatrics

  13. The scope of pediatrics disparity in anatomy, physiology 儿科学Pediatrics

  14. The scope of pediatrics disparity in anatomy, physiology 2岁 生后1小时 儿科学Pediatrics

  15. The scope of pediatrics disparity in anatomy, physiology Cardiothoracic ratio 儿科学Pediatrics

  16. The scope of pediatrics disparity in anatomy, physiology Heart rate 儿科学Pediatrics

  17. The scope of pediatrics disparity in anatomy, physiology nervous system Kernig sign,Babinski sign signs of meningeal irriatation neonatal periodKernig sign,Babinski sign(+) within 3～4mKernig sign (+) within 2yrBabinski sign (+) 儿科学Pediatrics

  18. The scope of pediatrics disparity in anatomy, physiology nervous system reflex neonatal period rooting reflex, Moro reflex infancyabdominal reflex (－) possible tendon reflex ( ↑) 儿科学Pediatrics

  19. The scope of pediatrics disparity in immunology 儿科学Pediatrics

  20. The scope of pediatrics Disparity in occurrence and progression of disease between children and adult age-dependent lab data, physical exam 儿科学Pediatrics

  21. The scope of pediatrics Disparity in occurrence and progression of disease between children and adult Disparity in spectrum of disease congenital anomalies inborn errors of metabolism more common in children newborn, infants vulnerable to infection sinusitis rare in infancy infants vulnerable to obstruction in respiratory tract 儿科学Pediatrics

  22. The scope of pediatrics Disparity in occurrence and progression of disease between children and adult Disparity in type of disease pneumonia bronchial pneumonia, lobar pneumonia vit D difficiency rickets(佝偻病), malacosteon(骨软化) 儿科学Pediatrics

  23. The scope of pediatrics Disparity in occurrence and progression of disease between children and adult Disparity in manifestation of disease diarrhea dehydration； fever seizure 儿科学Pediatrics

  24. The scope of pediatrics Disparity in occurrence and progression of disease between children and adult hepatomegaly, splenomegaly common in infancy ( anemia, infection) 儿科学Pediatrics

  25. The scope of pediatrics Progression Recovery deterioration 儿科学Pediatrics

  26. The scope of pediatrics Infant mortality ~1949 1999 2000 2003 China city 15%1.18% 0.55% rural 20% 3.7% 0.4~0.7% Developed Countries 儿科学Pediatrics

  27. <5yr death 1991 1999 2000 2003 China city 2.1% 1.4 % 0.7 % rural 7.1% 4.6 % 0.4~0.8% Developed Countries The scope of pediatrics 儿科学Pediatrics

  28. The scope of pediatrics <5yr death 93% in rural infant accounting to 80％ newborn death 65％of total infant death Leading death cause: pneumonia, asphyxia, prematurity, diarrhea, congenital anomalies, (2000) 儿科学Pediatrics

  29. The scope of pediatrics Birth defect is the first cause in newborn death Incidence of total birth defect 3%-5％ in Shanghai 0.2-0.3 million congenital defects seen after birth each year in China 0.8-1.2 million several months or years after birth 儿科学Pediatrics

  30. The scope of pediatrics Leading causes of death <1yr 1. perinatal conditions intrauterine growth retardation respiratory distress syndrome intrauterine hypoxia/birth asphyxia birth trauma 2. congenital anomalies 3. sudden infant death syndrome 4. pneumonia 5. gastrointestinal disorders 儿科学Pediatrics

  31. The scope of pediatrics Leading causes of death 1yr ～4yr 1. accidental injuries 2. congenital anomalies 3. malignant neoplasms 5 yr～ 14yr 1. accidental injuries 2. malignant neoplasms 儿科学Pediatrics

  32. The scope of pediatrics The young are often among the most vulnerable or disadvantaged in society and their needs require special attention. 1990年首次世界儿童问题首脑会议 “儿童生存保护和发展世界宣言”及“推行计划” 中国政府相继制定 “九十年代中国儿童发展规划纲要 及（2001～2010）中国儿童发展纲要” 儿科学Pediatrics

  33. The scope of pediatrics Genetics, embryology, nutriology, pshychology Pediatrics (health care) Child health education Social services 儿科学Pediatrics

  34. The scope of pediatrics Tasks in 21’ century 1. infective disease 2. psycho-behavior problem 3. accidental injury 4. congenital anomalies 5. prevention of adult disease in childhood 儿科学Pediatrics

  35. The scope of pediatrics

  36. The scope of pediatrics 儿科学Pediatrics

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