Schwartz R, Abegglen J A
Brigham Young University, Provo, Utah, USA.
Nurse Pract. 1996 May;21(5):19-20, 26-8, 31-2 passim.
The diagnosis and management of failure to thrive, a multifactorial condition, can be a challenge for the primary care provider. This article deals with organic failure to thrive and nonorganic failure to thrive in ambulatory settings. The complex etiology of failure to thrive is addressed relative to maternal/paternal and infant/child characteristics. Physical assessment is addressed with special attention on critical growth measurements, feeding and eating patterns, developmental delays, and psychosocial issues. Interventions in the areas of nutrition, development, and psychosocial interactions are examined with an emphasis on team management. Long-term effects of failure to thrive and primary and secondary preventive interventions are addressed.
生长发育不良是一种多因素导致的病症，其诊断和管理对初级保健提供者而言可能是一项挑战。本文探讨门诊环境下的器质性生长发育不良和非器质性生长发育不良。针对生长发育不良的复杂病因，结合母婴及婴幼儿特征进行了阐述。体格检查部分特别关注关键的生长指标、喂养和进食模式、发育迟缓以及心理社会问题。对营养、发育和心理社会互动方面的干预措施进行了研究，重点强调团队管理。还讨论了生长发育不良的长期影响以及一级和二级预防干预措施。
