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发育不良。

Failure to thrive.

机构信息

Department of Pediatrics, Kalawati Saran Children's Hospital and Lady Hardinge Medical College, New Delhi 110001, India.

出版信息

Indian J Pediatr. 2013 Jul;80(7):585-9. doi: 10.1007/s12098-013-1003-1. Epub 2013 Apr 19.

Abstract

Failure to thrive is poor physical growth that results when the nutritional demands of young children are not fulfilled. This diagnosis is made when, on serial growth monitoring, the child's anthropometric parameters such as weight for age and/or height are found to be significantly below the expected values. A detailed evaluation by the treating physician, taking into account physical and psychosocial factors affecting the child's health is essential for understanding the factors contributing to failure to thrive. The treatment of this entity requires a multidisciplinary approach, correcting the macro and micronutrient deficiency in the child as well as education of parents regarding age-appropriate feeding recommendation for children. In addition, parents need to be apprised of the possible implications of malnutrition on growth and neurodevelopment of the child. Early childhood being a crucial period for growth and development, an early diagnosis and treatment will result in better outcomes in children with failure to thrive.

摘要

生长不良是指儿童的营养需求得不到满足,导致其身体发育不良。当通过连续的生长监测发现儿童的体重与年龄比和/或身高等人体测量参数明显低于预期值时,即可做出此诊断。治疗医生需要进行详细评估,考虑影响儿童健康的身体和社会心理因素,这对于了解导致生长不良的因素至关重要。治疗这种疾病需要采取多学科方法,既要纠正儿童的宏量和微量营养素缺乏,又要教育父母遵循适合儿童年龄的喂养建议。此外,还需要让父母了解营养不良对儿童生长和神经发育的可能影响。幼儿期是生长和发育的关键时期,早期诊断和治疗可使生长不良的儿童获得更好的结果。

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