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1、INTRODUCTION OF PEDIATRICS,Department of PediatricsZhejiang University,Field of Pediatrics,Subjects: Fetus -Adolescence Tasks To improve quality of health care, prevention & treatment of diseases, to decrease morbidity and mortality Goal To optimize childrens physical, cognitive, and socio-emotional
2、 development.,Pediatrics,Developmental Pediatrics Growth and Development Preventive Pediatrics Prevention of Disease Clinical Pediatrics Management of Disease Perinatology Neonatology Adolescent Medicine,Characteristics of Pediatrics,Basic Medicine Anatomy (variants) Physiology (immature) Biochemist
3、ry (immature) Nutrition (greater requirements) Metabolism (relative higher) Immunology (compromised) Pathology (different response),Characteristics of Pediatrics,Clinical Medicine Categories of diseases (congenital, infection) Clinical manifestations (rapid, changeable, non-specific) Diagnosis (symp
4、tom ascertain, age specific) Treatment (combined, complex) Prognosis (better) Prevention (immunization, screening, gene test, quarantine, etc.),Age Period of Child,Fetus Newborn Infancy Toddler age Period Preschool Age Period School Age Period Adolescence,Fetal Period,Definition: LMP-birth(40W),Conc
5、eption-birth(38W) 1st trimester (embryonic):12W,differentiate 2nd trimester (fetus):13-28W(16W) 3rd trimester (fetus):29-40W(12W)rapid growth elaboration of functions Characteristic: survive depending on mother Main Problems dead fetus, abortion, preterm, IUGR, TORCH,Newborn Period,Definition Birth-
6、4th Wks, Perinatal period Characteristics survive independently, regulation and adaptability: not fully developed With high morbidity and mortality Main Problems hypothermia, asphyxia, brain injury, infection, jaundice, prematurity, congenital abnormality.,Infant Period,Definition 1 year Characteris
7、tics most rapid growth greater requirement of nutrition weak digestion and immunity function Main Problems dyspepsia, malnutrition, infection,Toddler age Period,Definition 1y to 3y Characteristics stable physical growth Rapid cognitive development food changes wide activities Main Problems accident,
8、 poisoning, communicable disease,Preschool Age Period,Definition 3y - 6 or 7y Characteristics Cognition and social-emotional functions develop perfectly: curiosity, questioning, mimicking Main Problems accident, communicable disease, autoimmunity,School Age Period,Definition 6y or 7y - 12y or 13y Ch
9、aracteristics Perfectly development of all organs and systems exp. genital system New environment: study, education Main Problems health care, caries, myopia, sexual precocity ADHD, LD,Adolescent Period,Definition F: 11y or 12y - 17y or 18y M:13y or 14y - 18y or 20y Characteristics rapid development of genital system 2nd peak height velocity Main Problems psychological, psychiatric, behavior, endocrinenutrition (Depression, Anxiety),
