基础医学与临床 ›› 2017, Vol. 37 ›› Issue (12): 1756-1760.

• 短篇综述 • 上一篇    下一篇

从临床诊疗指南及专家共识角度看小于胎龄儿的诊断和治疗

李冉1,陈适2,朱慧娟3,潘慧3   

  1. 1. 中国医学科学院北京协和医学院北京协和医院
    2. 中国医学科学院 北京协和医学院 北京协和医院
    3. 北京协和医院
  • 收稿日期:2016-12-05 修回日期:2017-03-24 出版日期:2017-12-05 发布日期:2017-11-29
  • 通讯作者: 潘慧 E-mail:panhui20111111@163.com
  • 基金资助:
    国家自然科学基金;中国医学科学院医学创新基金

Diagnosis and treatment of small-for-gestational-age infants based on clinical practice guideline and expert consensus

  • Received:2016-12-05 Revised:2017-03-24 Online:2017-12-05 Published:2017-11-29

摘要: 小于胎龄儿围生期患病率及病死率高,成年期发生代谢综合征风险增加,但目前国内尚且缺少小于胎龄儿的诊治共识,本文从定义、危险因素、生长激素治疗及治疗前后的评估与监测、其他治疗及小于胎龄儿的近期和远期并发症等方面进行总结,从而为临床工作中的诊断和治疗提供参考。

关键词: 小于胎龄儿, 生长激素, 追赶性生长, 诊断, 治疗

Abstract: Infants born small-for-gestational-age have high rates of mortality and morbidity in perinatal period, high risk of metabolic syndrome in adult. However, there is a lack of consensus about the diagnosis and treatment of small-for-gestational age in China. We make a literature review of the definition, risk factors, growth hormone therapy, evaluation before and after growth hormone therapy, short-time and long-time complications of small-for-gestational-age in all the clinical practice guideline and expert consensus available all over the world, aiming at providing useful information in clinical practice.

Key words: small-for-gestational-age, growth hormone, catch-up growth, diagnosis, treatment

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