Yadav Sangeeta, Dabas Aashima
Department of Pediatrics, Pediatric and Adolescent Endocrinology Unit, Maulana Azad Medical College, University of Delhi, New Delhi, India,
Indian J Pediatr. 2015 May;82(5):462-70. doi: 10.1007/s12098-014-1609-y. Epub 2014 Dec 4.
Growth is an essential and continuous process in animate objects. Linear growth or height is considered synonymous to growth by most children and their parents. Any disturbance or faltering in height is thus, a frequent cause of concern for the family. The foremost responsibility of the clinician is to detect whether the growth pattern is appropriate or deviant from the normal. A detailed clinical evaluation including accurate anthropometry is essential to suspect and diagnose the underlying cause. The role of more sophisticated investigations is reserved for fewer children who are pathologically short. Treatment is directed as per the primary etiology of short stature. Growth hormone therapy is a highly specific and targeted therapy which should be instituted only under expert consultation.
生长是生物体内一个基本且持续的过程。大多数儿童及其家长认为线性生长或身高增长等同于生长。因此，身高方面的任何干扰或生长迟缓都是家庭频繁担忧的原因。临床医生的首要职责是检测生长模式是否正常或偏离正常。包括准确人体测量学在内的详细临床评估对于怀疑和诊断潜在病因至关重要。更复杂检查的作用仅适用于少数病理性身材矮小的儿童。治疗是根据身材矮小的主要病因进行的。生长激素疗法是一种高度特异性和针对性的疗法，仅应在专家咨询后实施。
