Schoenle E J
Universitäts-Kinderklinik Zürich.
Praxis (Bern 1994). 2001 Jun 14;90(24):1093-6.
The ability to interpret growth of a child is dependent on the availability of earlier data of the child and of data concerning the family. Most important is the recording of growth data on a growth chart by the family doctor or the paediatrician. In addition, parental height allows the calculation of the patients target height. The exact interpretation of bone age using a x-ray of the hand is imperative. The most common "disturbances of growth" are variants of the norm, like familial short stature or retardation of growth and development, or--not rarely--a combination of both. A simple flow sheet is helpful in determining if further endocrine investigation are needed.
解读儿童生长情况的能力取决于该儿童早期数据以及家庭相关数据的可得性。最重要的是家庭医生或儿科医生在生长图表上记录生长数据。此外,父母的身高有助于计算患者的靶身高。使用手部X光精确解读骨龄至关重要。最常见的“生长障碍”是正常变异,如家族性身材矮小或生长发育迟缓,或者——并不罕见——两者兼而有之。一个简单的流程图有助于确定是否需要进一步进行内分泌检查。