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Shandongprovincial王玉3-1Shandongprovincial王玉3-1FlowersoftheFutureoftheTreasuresofthe3-FlowersoftheFutureoftheTreasuresofthe3-2Ⅰ.Ahealthofage-periodiscalledas3-Ⅰ.Ahealthofage-periodiscalledas3-3FieldofPhysical格Intelligence心能理3-4FieldofPhysical格Intelligence心能理3-4HowtostudyAChina“Althoughais3-5HowtostudyAChina“Althoughais3-5 belittlepediatricsstatementa3-6Masterthecharacteristicsofchildrenstatementa3-6Masterthecharacteristicsofchildrenanatomy—anatomy—with3-7anatomyInternalHeart—inLiver—canbeChestcavity—anatomyInternalHeart—inLiver—canbeChestcavity—3-8InImmatureDifferentphysio-biochemistryvalueindifferent120~1403-9AgeInImmatureDifferentphysio-biochemistryvalueindifferent120~1403-9Age Respiratory Pulse InMatabolism↓↓relatively3- 50InMatabolism↓↓relatively3- 50 50ThesamedifferentVitDlobarprimary3-ThesamedifferentVitDlobarprimary3-IgM:molecules—toolargetopassthroughplacentadeficiencyinnewborn→infectedbyG-bacteriasIgA:deficiency→IgM:molecules—toolargetopassthroughplacentadeficiencyinnewborn→infectedbyG-bacteriasIgA:deficiency→infectionIgG:0~5mon—getfrom3-Spectrumofdiseases—3“more”:CongenitaldiseasesInheritedAcuteinfectiousManifestation3-Spectrumofdiseases—3“more”:CongenitaldiseasesInheritedAcuteinfectiousManifestation3-Shouldfeatures—delivery,family◆3-ChildrenseldompretendtoShouldfeatures—delivery,family◆3-Childrenseldompretendtobesick atbirthlaterdeficiencyVitfever3- atbirthlaterdeficiencyVitfever3-1.2.3.Medicine—dosage/3-1.2.3.Medicine—dosage/3-CalculationofdosageinBybodydosage=△/kg×CalculationofdosageinBybodydosage=△/kg×Convertfromadultdosage=△(adult)/50(kg)×kg(3-byconvertfromadultdosagebyagebyBSA(㎡CalculationofdosageinBy1y.369CalculationofdosageinBy1y.3691215△(adult3-CalculationofdosageinBybodysurfacearea(BSA-dosageCalculationofdosageinBybodysurfacearea(BSA-dosage/BSA㎡b.w＜30㎏b.w3㎏BSA(㎡BSA(㎡3-Inprevention-①②Newborn③obesity→Inprevention-①②Newborn③obesity→3-Ⅱ.兒年齡分(Agestagesin胎新兒生期兒(Fetal期Ⅱ.兒年齡分(Agestagesin胎新兒生期兒(Fetal期(Toddler’s(Pre-學(xué)齡前期(School3-1.Pregnancy~labor(280d,40w)Care1.Pregnancy~labor(280d,40w)Careofpregnantmother3-1.Firsttrimesterofpregnancy:—importantforstructure-1.Firsttrimesterofpregnancy:—importantforstructure-Secondtrimesterofpregnancy:—OrgansdevelopmentrapidlyandmatureThirdtrimesterofpregnancy:—Bodyweightincreases3-2.Havetobewiththe▲(prenatal28w~postnatal—perinatalmortality:2.Havetobewiththe▲(prenatal28w~postnatal—perinatalmortality:Particularityofpharma-3-DrugtreatmentDrugseffectingon（靜劑痛劑）DrugtreatmentDrugseffectingon（靜劑痛劑）））Prostaglandin（前列素FetaldistressinuterusNeonatalasphyxiaHypoxic–ischemicencephalopathy3-(0~1y3“most①Physicaldevelopment—most②Requirement(0~1y3“most①Physicaldevelopment—most②Requirementofnutrition—③Immunefunction—Nutrition!!in3-Toddler(1y~3yToddler(1y~3yspeedingupgood3-5.(3y~6yor7y5.(3y~6yor7yEncouragedangerA3-School-(6~7y→School-(6~7y→LongforPersonalitydiscipline3-13/14y~11/12y~13/14y~11/12y~Psychologicaltothinkindependently3-GrowthandGrowth:body,organsandsystemsgrowwithageGrowthandGrowth:body,organsandsystemsgrowwithageDevelopment:cells,structureanddifferentiateandmaturein3-Rulesofgrowthand1.Continuousandstage-by-stage2peaksofbyb.w+Rulesofgrowthand1.Continuousandstage-by-stage2peaksofbyb.w+6b.h+25(cm)growth3-Rulesofgrowthand2.UnbalancewithdifferentorgansandRulesofgrowthand2.Unbalancewithdifferentorgansand3-Rulesofgrowthand3.Thegeneral①upper→②near→Rulesofgrowthand3.Thegeneral①upper→②near→③rough→④simple→⑤lowgrade→3-Rulesofgrowthand4.EveryonehashisowntrajectoryofRulesofgrowthand4.Everyonehashisowntrajectoryofgrowthand3-FactorsinfluentingtheanddevelopmentConditionof3-FactorsinfluentingtheanddevelopmentConditionof3-CommonindexesofphysicalⅠ.FluctuatesmostfrequentlyObtainedmosteasilyItsincreasingstepsdownCommonindexesofphysicalⅠ.FluctuatesmostfrequentlyObtainedmosteasilyItsincreasingstepsdowngraduallywithage2peaksofgrowth:infancy,3-Birthweight:3.3±0.4kg(♂),1~6 birthw.(3)﹢mon.→(years+Birthweight:3.3±0.4kg(♂),1~6 birthw.(3)﹢mon.→(years+→+7(or3-CommonindexesofphysicalⅡ.HeightStandingatbirth3m:CommonindexesofphysicalⅡ.HeightStandingatbirth3m:years×6+3-CommonindexesofphysicalⅢ.CircumferenceatHC+(ageCommonindexesofphysicalⅢ.CircumferenceatHC+(age-3-AnteriorSoonerorlater3-AnteriorSoonerorlater3-Spinal①Cervical3m(raise②6m③1y②3-Spinal①Cervical3m(raise②6m③1y②3-BoneTheemergingnumberofossificationcentermayreflectthematuringdegreeofthelongboneOssificationyears3-BoneTheemergingnumberofossificationcentermayreflectthematuringdegreeofthelongboneOssificationyears3-UpperLowertopofhead~pubis~123-UpperLowertopofhead~pubis~123-ProportionofMilkat~(total:Permanent(total:3-milkteethMilkat~(total:Permanent(total:3-milkteethNervousandmentalSensoryvisualsensetastesensetouchsensesmelltemperaturepain&NervousandmentalSensoryvisualsensetastesensetouchsensesmelltemperaturepain&3-NervousandmentalMoving“3抬6坐8爬叉1歲的孩子挪”DeliberateDrawn “3月玩NervousandmentalMoving“3抬6坐8爬叉1歲的孩子挪”DeliberateDrawn “3月玩手69月拇指能”Age3-RulesofmotordevelopmentfromuppertoTurnStandRollLiftLeadAgeNervousandmentalLanguagerelyon33-NervousandmentalLanguagerelyon33-growth&Headlag,clenched?Responseto3growth&Headlag,clenched?Responseto3NeckGraspaEyesfollowmoving3-growth&6???growth&6???ShakerattleTransfer3-growth&8CrawlbyholdingtheVocalizegrowth&8CrawlbyholdingtheVocalize3-growth&10???StandandwalkwithHoldsomethingbetweenthumbandgrowth&10???StandandwalkwithHoldsomethingbetweenthumband3-growth&1~1?????StandBeginningtowalkwithoutgrowth&1~1?????StandBeginningtowalkwithoutpincersimple3-growth&2~walk???MimicsocialLearntosinggrowth&2~walk???MimicsocialLearntosingsimple3-Questionsthis1.Howmanyage-stagesarethereingeneralrulesachildCommonofphysicalQuestionsthis1.Howmanyage-stagesarethereingeneralrulesachildCommonofphysical---headspinalcloseanterioreruptionmilk3-care3-care3-MaincontentsofthisⅠ.Children’shealth—Planned.NutritionⅡ—MaincontentsofthisⅠ.Children’shealth—Planned.NutritionⅡ—ofenergyⅢ.Infant—BreastFormulaDiet3-Ⅰ.Children’shealth1.NutritionPreventionofdiseasesHealthRegularphysicalⅠ.Children’shealth1.NutritionPreventionofdiseasesHealthRegularphysical3-Diphtheria-Pertussis-1d,1m,6m2m,3m,4m3m,4m,HepatitisACerebritisBEpidemicmeningitisbacillecalmette-Diphtheria-Pertussis-1d,1m,6m2m,3m,4m3m,4m,HepatitisACerebritisBEpidemicmeningitisbacillecalmette-oral3-Ⅱ.basesof【BalancenutritionBalanceBalanceofintakingandⅡ.basesof【BalancenutritionBalanceBalanceofintakingand3-basesofCarbohydrates without 3-basesofCarbohydrates without 3-SpecialmetabolismandenergyrequirementtotalenergyRequirement(1)60(2)525~30(3)10100SpecialmetabolismandenergyrequirementtotalenergyRequirement(1)60(2)525~30(3)10100(4)3-Energy15y~kcal/—10kcal/Energy15y~kcal/—10kcal/ 3-3-3-EssentialresourceofAccountfor50~35~10EssentialresourceofAccountfor50~35~10~3-3-3-3-3-Water－25ml 3-Water－25ml 3-intakesFat-solublevitamins(ADEKintakesFat-solublevitamins(ADEK5(2004256563-intakesWater-solublevitamins( CintakesWater-solublevitamins( C3-intakes21kindsmajor>mineralscalcium,phosphorus,sodium,traceintakes21kindsmajor>mineralscalcium,phosphorus,sodium,trace(mg,mg)<zinc,copper,selenium,iodine,3-Ⅲ.Infant—WHOadvocatesbreastCommonfeedingBreastⅢ.Infant—WHOadvocatesbreastCommonfeedingBreastMixedfeeding3-Advantagesofbreast?Richinnutrition,easytobe??immune-theAdvantagesofbreast?Richinnutrition,easytobe??immune-thefeelingbetweenmotherandcontractionandrecoveryof?3-Contentsof 80Contentsof 80colon3-Human3-Human3-Methodofbreast Earlytobegin,Latetowean,Notfeedingon(早開Methodofbreast Earlytobegin,Latetowean,Notfeedingon(早開乳，晚斷乳4月想內(nèi)吃純就母吃乳隨。時哺3-MethodofbreastToat1/2hafter①②③④⑤Noregularinterval(generally:MethodofbreastToat1/2hafter①②③④⑤Noregularinterval(generally:q3h,6~7at1~breastoneby3-3-holdafter3-holdafterDisadvantageofhumanVitK,D/Ca—notenoughBreastjaundice/diarrheaSomemedicineDisadvantageofhumanV