摘要
目的分析矮小症患儿的病例,探讨发病病因,为临床诊断提供参考。方法回顾性分析本院2013年5月至2019年5月收治的58例矮小症患儿的临床资料,分析患儿发病病因。结果58例患儿学龄期就诊患儿最多,有30例,占51.72%,学龄前期最少,有4例,占6.90%;最常见的为生长激素缺乏症(GHD),有34例,占58.62%,甲状腺功能低下3例,占5.17%,营养不良2例,占3.45%,家族性矮小(FSS)2例,占3.45%,体质性青春期延迟2例,占3.45%,其他15例,占25.86%。49例行骨龄检查,骨龄落后者22例,占44.90%。结论儿童矮小症病因复杂,临床医生应关注患儿家族史,详细询问病史,进行生长激素激发试验及骨龄检查,并给予早期干预及治疗。
Objective Analyzed the clinical characteristics and etiological factor children with short stature,to provide the basis for scientific diagnosis.Methods The clinical data of 58 children with short stature admitted to our hospital fromMay 2013 to May 2019 were retrospectively analyzed to analyze the etiology of the disease.Results In the 58 cases of children,the number of school-age patients was the largest,with 30 cases,accounting for 51.72%.At the early stage of school age,there was 4 cases,accounting for 6.90%.Growth hormone deficiency(GHD)was the most common disease.There was 34 cases(58.62%)diagnosed as GHD,3 cases(5.17%)hypothyroidism,2 cases(3.45%)malnutrition,2 cases(3.45%)familial short stature,2 cases(3.45%)constitutional delay of growth and puberty,the other 15 cases(25.86%).49 cases of bone age examination,bone age lag in 22 cases,accounting for 44.90%.Conclusion The etiology of child short stature is complex.Clinicians should pay attention to the Children's family history,inquire about the patient's medical history in detail,conduct growth hormone stimulation test and bone age examination,and give early intervention and treatment.
作者
俞小霞
Yu Xiaoxia(Fujian Provincial Hospital of Jinshan,Fuzhou,Fujian,350008,China)
出处
《当代医学》
2020年第25期90-92,共3页
Contemporary Medicine
关键词
儿童
矮小症
病因
生长激素缺乏
Children
Short stature
Etiology
Growth hormone deficiency
