儿童矮小症病因分析

目的:探讨儿童症的病因。方法:对50例矮小儿童进行全面的病史采集和体格检查及相关实验室检查。结果:生长激素缺乏症(growth hormone deficienty,GHD)20例,占40%;体质性青春发育延迟1例(2.0%)例;宫内发育迟缓3例(6.0%);营养不良性矮小4例(8.0%);原因不明5例(10.0%);Turner's氏综合征者6例(12.0%);铅中毒6例(12.5%);特发性矮小症5例(10.0%)。结论:矮小儿童病因中,内分泌疾病占大多数,其中以生长激素缺乏症最为多见。对矮小患儿应明确病因,给予对因治疗。

Analysis of etiology of children short stature

Objective: To investigate the etiology of children with short stature.Methods: The study of etiology of 50 children with short stature were done by acquisition of comprehensive history,physical examination and associated laboratory examination.Results: There were 20 cases with growth hormone deficiency(GHD),accounting for 40 %,1 case with constitutional delayed puberty(CDP)(2%),3 cases with intrauterine growth retardation(6.0%),4 cases with malnutrition(8.0%),5 cases with unknown origin(10.0%),6 cases with Turner's syndrome(12.0%),6 cases with lead poisoning(12.5%),5 cases with idiopathic short stature of five cases(10.0%).Conclusion: The dominant etiology of children with short stature is endocrine disorder;of which,the commonest one is GHD.The treatment of children with short stature should base on the etiology.