第一章 儿童少年生长发育 growth and development of children and adolescents
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Growth and Development of Children and Adolescents
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1.(growth) 2.(development) 3.maturity-,
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1.2.3.4.
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( general principles of growth and development ),
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------ fetal period ) ( infant period )( toddle period ) ( early child period ) pre-school period) ( child period ) ( adolescence ) ( youth period )
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1.- cephalo-caudal pattern
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2. proximodistal pattern
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3. centripetal pattern ,
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growth spurtPeak height velocity, PHVage at peak height velocityPHA
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41 1-2
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1234
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Scammon
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canalization
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catch-up growth
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adolescenceWHO ,1.2.3.
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WHO:102010 1812 20
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1.2.3.4.5.6.
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()WHO 1014 1520
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2-32323
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1.2.3.4.5.6.7.
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1. TRHGRH LH-RH FSH-RH MRFGHRH PRF MIF GHRIH PIF
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GH PRL LH FSH TSH ACTH 2.
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---
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--
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1.2.--
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1.
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2. --emission)12~18
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19852000
1985199114.3314.73200014.2314.43
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3.
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1:
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2. -----(menarche)27811~1812~14
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3.-----
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()()1.2.3.
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1.2.1.2.3.
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1.short stature3 3
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2.tall stature 9797 HA>BA=CA: HA>BA>CA98%2%
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3.(sexual precocity)9810
- 4.(delayed puberty)14135 BA
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3.,
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123.
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123456
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1
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211.52-2.5
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3
--1-
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42-7.... 2(.... )
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5temperament
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6 attachment()6570%20% 1015%
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123456
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1
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23----
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3
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43
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4
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5
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1. 2.3.4.5.
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1.---
2.
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10 ---
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4.
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5.
------
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6.
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1.2.3.4.5.
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1.
----
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2.----
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3.-----1.2.3.4.
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24
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:
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4.--------
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5.
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