矮小儿童83例病因研究及误诊分析

目的　探讨分析儿童矮小症的病因及误诊原因。方法　回顾分析 83例确诊病例的临床资料。结果　 83例中 56例曾被误诊 ,误诊率 67.5%。误诊时间 3个月～ 1 0 a。按不同病因的临床特征分类为 :体型正常矮小 (生长速度可正常或减慢 ) ;体型异常 (体态不匀称或伴有外观畸形 )。结论　误诊原因在于矮小定义不清 ;未能进行生长发育监测 ;未及时发现生长迟缓 ;以及医生对病因分类及诊断思路不清 ,病史询问不详、未作家族史调查及仔细的体检 ,缺乏对遗传代谢病的足够认识

Etiological Study and Misdiagnostic Analysis of 83 Cases of Microsomia Children

Objective To investigate the etiology and misdiagnosis of microsomia children.Method Data of 83 cases of microsomia children were analyzed retrospectively.Results 56 cases were misdiagnosed (67.5%)and the time interval of misdiagnosis lasted from 3 months to 10 years long.According to different clinical features,the causes were classified as follows: short stature with a normal figure (growth rate might be normal or retarded);and short stature with an abnormal figure (unbalanced development or being with malformed appearance).Conclusion The cause of misdiagnosis included: unclear definition of microsomia;lack of growth and development monitoring;unnoticed growth retardation at an early stage;and that the doctor in charge didn't know its classification of cause or could not make a clear analysis during diagnosis,or failed to ask a detailed history or to survey family history,or didn't make a detailed physical examination,or lack of full understanding of hereditary metabolic diseases.