一、病因学 二、病理与发病机理 三、临床表现 四、诊断与鉴别诊断 五、并发症及后遗症 六、治疗

一、了解胎儿循环及出生后的变化 二、熟悉先天性心脏病的病因和分类,诊断方法 三、掌握常见先心病的血液动力学、临床表现常见并发症、诊断和治疗原则

Definition PEM is manifested primarily by inadequate dietary intakes of protein and energy. PEM is almost always accompanied by deficiencies of other nutrient. PEM can be divided as primary PEM and secondary PEM

Diseases of the Blood in Children Anemias Nutritional anemias (Iron deficiency iron) Hereditary spherocytosis Glucose-6-phosphate dehydrogenase (G-6-PD) deficiency Thalassemia Bleeding disorders(Hemorrhagic diseases) ITP Hemophilia

Hematologic Disorders of Children 一、小儿血液系统疾病 Diseases of erythrocytic system: 二、红细胞系统疾病: Hematopoietic substances deficiency; 三、造血原料缺乏; Nutritional iron deficiency anemia 四、营养性缺铁性贫血 nutritional megaloblastic anemia

1. Causes Hypoxia Perinatal asphyxia, apnea, respiratory failure, right to left shunt Ischemia Heart arrest, Heart failure, Shock

Vitamin D roles Facilitate intestinal absorption of calcium and phosphorus Promote renal reabsorption of phosphorus Direct effect on bone deposition and reabsorption of calcium and phosphorus Maintain calcium and phosphorus homeostasis

Definition PEM is a kind of malnutrition caused by inadequate dietary intake or some diseases, occurs commonly in children under 3 years of age. Kwashiorkor Marasmus

Overview Definition of Accidental Trauma: Accident, Unexpected, Injuries Physically and/or Psychologically Causes: physical, chemical, and biological factors Main cause of mutilation and death in children globally

概念 意外伤害(Unintentional Injury):突然发生的事件对人体 所造成的肉体和精神上的伤害,原因包括物理、化 学和生物等各种因素,是儿童致伤、致残、致死的 主要原因之一 1985年美国国家儿童卫生与人类发展研究所(NICHD) 学术会议对意外伤害的定义和分类进行标准化 国际疾病分类(ICD-10)将其列为单独一类疾病