Block Robert W, Krebs Nancy F
Pediatrics. 2005 Nov;116(5):1234-7. doi: 10.1542/peds.2005-2032.
Failure to thrive is a common problem in infancy and childhood. It is most often multifactorial in origin. Inadequate nutrition and disturbed social interactions contribute to poor weight gain, delayed development, and abnormal behavior. The syndrome develops in a significant number of children as a consequence of child neglect. This clinical report is intended to focus the pediatrician on the consideration, evaluation, and management of failure to thrive when child neglect may be present. Child protective services agencies should be notified when the evaluation leads to a suspicion of abuse or neglect.
生长发育迟缓是婴幼儿期和儿童期的常见问题。其病因通常是多因素的。营养不足和社交互动障碍会导致体重增加不佳、发育迟缓及行为异常。相当一部分儿童因遭受忽视而出现该综合征。本临床报告旨在使儿科医生关注在可能存在儿童忽视的情况下对生长发育迟缓的考量、评估及管理。当评估结果怀疑存在虐待或忽视时,应通知儿童保护服务机构。