儿童矮小症25例原因及临床分析

目的：探讨儿童矮小症的病因与治疗特点，为临床诊断治疗提供依据。方法对25例儿童矮小症患儿进行生长激素检测及其它辅助检查，并使用重组人生长激素（rh—GH）和其他相关治疗。结果25例矮小症儿童中，生长激素（GH）缺乏性矮小13例，其中2例多垂体激素缺乏，特发性矮小12例，包括2例体质性青春发育延迟，家族性矮小2例，宫内发育迟缓3例，甲状腺功能减退2例，先天性软骨发育不良1例，重组生长激素（GH）对生长激素缺乏症（GHD）疗效显著，月身高增长1cm，对特发性矮小、家族性矮小、宫内发育迟缓效果满意，甲状腺功能低下者予以甲状腺素片治疗，生长增速。结论儿童矮小原因很多，及时发现病因，早期发现，早期治疗非常重要。

The causes and the clinical analysis of 25 children dwarfism

Objective： Investigate the etiology and treatment of children dwarfism, Provide the basis for clinical diagnosis and treatment . Methods： In 25 children dwarfism children detection of growth homaone and other auxiliary examination, And the use of recombinant human growth hormone （rh - G H） and other relevant treatmento Results： 25 cases of small children, growth hormone （GH） lack of squat, 13 cases, 2 cases of pituitary hormone deficiencies, 12 cases of idiopathic short, including 2 cases of constitutional youth retardation, familial short in 2 cases, intrauterine retarded 3 cases, 2 cases of hypothyroidism, cartilage dysplasia, 1 case of congenital recombinant growth hormone （GH） on growth hormone deficiency （G H D） curative effect is distinct, month 1 cm, For idiopathic short, Familial short, intrauterine retardation effect is satisfied, thyroid function is low person be thyroxine treatment, growth rate fast, Conclusion： Small children for many reasons, find the cause in time, early detection, early treatment is very important.