Broughton D
Mayo Clinic, Rochester, Minnesota.
Am Fam Physician. 1989 Nov;40(5 Suppl):63S-64S, 69S-72S.
Inadequate growth of children, or failure to thrive, can stem from organic or nonorganic causes. Factors involved in nonorganic failure to thrive include poor parental interaction with the child and inadequate caloric intake. Diagnosis of nonorganic failure to thrive requires a thorough history, physical examination, developmental assessment and careful dietary history, with less emphasis on laboratory testing. Therapeutic intervention consists of correcting the nutritional status and addressing the psychosocial issues.
儿童生长不足或发育迟缓可能源于器质性或非器质性原因。非器质性发育迟缓涉及的因素包括父母与孩子互动不良以及热量摄入不足。诊断非器质性发育迟缓需要全面的病史、体格检查、发育评估和详细的饮食史,较少依赖实验室检查。治疗干预包括纠正营养状况和解决心理社会问题。