佝偻病介绍(英文版)课件.ppt

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1、Rickets（佝偻病）Whatisrickets?Rickets[ˈrikits]isabonedisordercausedbyadeficiencyofvitaminD,calcium[ˈkælsiəm],orphosphate [ˈfɔsˌfeɪt]（磷酸）.Thereasonscauserickets：1.Thebabyspendtoolittletimeoutsideunderthesun.2.Thebabydoesn'thaveenoughfoodscontainingvitaminD.3.Th

2、emothersbreedfeedingdon'treceivevitaminDsupplements.4.Thebabycan'tmakeorusevitaminDbecauseofamedicaldisordersuchasdisease.5.Thebabyisgrowtoofasttohaveenoughcalcium.Physicalcondition:1.Earlystage:Especially3monthsbabyNerveexcitabilityincreasedEmtionunsteabl

3、ehyperhidrosispressurealopecia2.Actionstage:Performance;bonechangeandsportfunctiondevelopmentdelayHead:3-6monthsBrainsoftening7-8monthsSquareheadCrossheadBregmaticenlarge/delaycloseTeethingdelayEnameldeficiencyActionstage:Chest:oneyearoldThoracicdeformityc

4、hickenbreastFunnelbreastActionstage:Extremity:over6monthsrachitisbanglebraceletOneyearoldbowlegorXshapedlegActionstage:Spinalcolumn:kyphosis（后凸）Scoliosis（侧凸）Actionstage:§Motorfunctiondevelopslow:Muscletoneisdecreased(肌张力下降)●Development：§nerveandspiritdevel

5、opslow.Frogbelly(蛙形腹)3.Recoverystage：§Afterdoingsomecomprehensivetreatment,thepatientconditionwillbecomebetter.4.Sequelaestage(后遗症期)：Patientswithseverediseasemayhavesomeskeletaldeformity(骨骼畸形).SupplementaryExamination:X-rayexamination：Biochemicalexaminatio

6、n：血清serum血磷Bloodphosphorus血钙Bloodcalcium碱性磷酸酶Alkalinephosphatase初期TheearlyperiodfallingfallingfallingNormolorincreased激期ActivityperiodMorelowMorelowSlightlylowerincreased恢复期RecoveryperiodNormolNormolNormolBecomenormolAfter1-2month后遗症期SequelaeperiodnormolNo

7、rmolNormolNormolWhat’sthetreatmentprincipleandmainmeasures?Treatmentprinciple:1.Controlthecondition.2.Preventskeletalmalformations.Mainmeasures:1.VitaminDtreatment:MainoralvitaminD(Generaldosagefor50-100ug/d.)But,SeverechildrencaninjectthevitaminD3for7500-

8、15000ugandchangeinoralafter2-3months.2.Generaltreatment:Importantly,strengthenthebaby’snutritionandensurethatheisabsorbedenoughmilk.Moreover,stickingtodosomeoutdooractivitiesisgoodforhiscondition.3.Theseveres