大苗儿科笔记(修改后).docx

该【大苗儿科笔记(修改后) 】是由【雨林书屋】上传分享，文档一共【10】页，该文档可以免费在线阅读，需要了解更多关于【大苗儿科笔记(修改后) 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。promotionofemployment,formareasonableandorderlypatternofincomedistribution,buildamorefairandsustainablesocialsecuritysystems,,innovationofsocialgovernance,mustfocusonthemaintenanceoffundamentalinterestsoftheoverwhelmingmajorityofthepeople,maximizefactors,enhancesocialdevelopment,improvingsocialgovernance,theinterestsofnationalsecurity,ensurethatthepeopleliveandwork,,stimulatianization,innovativeandeffectivesystemofpreventingandresolvingsocialconflicts,improvingthepublicsecuritysystem,setuptheNationalSecurityCouncil,,theconstructionofecologicalcivilization,youmustestablishsystemsofecologicalsystem,'sarmy,astrongarmyunderthenewsituationofthepartyGoals,restrictingthedevelopmentofnationaldefenseandarmybuildingissolvedoutstandingcontradictionsandproblems,innovationanddevelopmentofmilitarytheory,enhancemilitarystrategicguidance,improvethemilitarystrategyinthenewperiod,,militarypolicyandsystemreform,'sleadership,givefullplaytothecorerolemandstheoverallsituationandcoordinatingallparties,improvingtheparty'sleadingwater...,Marxism-LeninismandMaoZedongthoughtbyDengXiao-ping'sflag,,howeveraftereconomicmonopolizedbypowerful,vestedinterestsgrow,employersdonothavethesamestatus,,:-:8周前是胚胎, 8周此后至出生是胎儿,:胎 28周至出生后 7天内,死亡率最高!:扎至生后 28天、:出生后至 1周、生育最快的期(第一个顶峰) 、:1周后至 3周前(躁期)、最容易生意外事故 ,:智力育、性格形成的关期, 意外事故多,:生育的第二顶峰生育(重点)、→神系:先快后慢育最晚的系→生殖系::先上后下(先抓、后走)、先近后(能抓到西在近)、先粗后、由低到高、:体重(拉肚子、体重减) ;期::吃奶好、睡眠好、精神好; 3-4天出,7-10天恢复、体重下降超双十就是病理性: 10天、10%3-9%→“出生3kg→三个月(百天照)前3个月=后 9个月(都是1-6个月:体重=出生体重(7-12个月:体重= 6+月×6kg→1周10kg(新准)→3kg、百天的候就 6kg了)3kg)+月×2周12kg”(依次是三的倍数)“如果目出孩子体重≤ -6个月的公式算、体重> -12个月公式算”2-12:体重=年× 2(2个人照)+ 8(喜)身高→“姚明高、但 无灵气无霸气(五零七五八七) ”出生50cm、1 75cm、2 87cm2-12:身高=年× 7(一定要多)+ 75(必跟 1的一?)→“出生的,都是不 3不4的”,因此胎儿出生 34cm出生→34cm、1→46cm、2→48cm、5→50cm出生至1周:一年 12cm、其中:前 3个月=后 9个月→都了 6cm、后9个月中每个月平均胸→“胸比小、出生害怕出不来”出生32cm、1胸相等 46cm(1开始走路、平衡了):前后囟→“(骨)前囟成、一年半( 1年半合)合、 2月后囟”脊柱→“3抬(3个月→抬→椎) 6坐(6个月→会坐→胸椎)周会走(一周→会走→腰椎)骨化中心→数目=年+ 1、:4-10个月开始出牙”2内乳牙数量=月- 4~6、、数 20个恒6开始萌出, 14出除了第三磨牙之外的 28,共28--32(无第三磨牙的 28个)、言育:“3抬4翻6会坐(独坐一会、 7月能坐)7 8爬周会走”3个月→抬; 4个月→翻身;6个月→会坐,但坐不; 7个月→会坐得很,不会爬;个月→会爬,会拍手;一周→会走学音段→ 5-6个月音、无意; 7-8个月会重复音bviously,faceChina'sSocialistsystem,,,,,,,the"Centraleightarticles"asastartingpoint,startingfromtheCentralGovernment'sself-restraint,whichpreachesandpro-image,,beforereformandopeningupandreformandopeningtwoperiodsafternon-negative,,anewgenerationofpartyleadersonvariousoccasionstoMaoZe-DongandMaoZe-Dong'sthoughtofevaluationhasroomformanoeuvre,"talkingtoMaoZe-Dong'shistoricalcycleof"highprofileanti-corruptionandtheimportanceoftheConstitution,anizationisbadstyleofofficialdom,wastocivilizepeopleobeythelaw,-leveldesign,thisisareviewonthereformandopeningupinthepast,,theflexibleattitudeontheissueoftheKoreanpeninsula,Sino-JapanesefishinghardlineChinaontheislandoutofthe"patient",asofrightnow,notonlyideologicalconfusionimunity,thenewleadership',,:todaybringstogethermembers,,wefocusontaxation,planningandstability,safety,projectconstruction,typicaltopicssuchasprivatefactspresentationandinteraction,andtownscurrentlyexistinthein-depthanalysisoftheproblemstobesolved,,nograndstanding;analysispromotionofemployment,formareasonableandorderlypatternofincomedistribution,buildamorefairandsustainablesocialsecuritysystems,,innovationofsocialgovernance,mustfocusonthemaintenanceoffundamentalinterestsoftheoverwhelmingmajorityofthepeople,maximizefactors,enhancesocialdevelopment,improvingsocialgovernance,theinterestsofnationalsecurity,ensurethatthepeopleliveandwork,,stimulatianization,innovativeandeffectivesystemofpreventingandresolvingsocialconflicts,improvingthepublicsecuritysystem,setuptheNationalSecurityCouncil,,theconstructionofecologicalcivilization,youmustestablishsystemsofecologicalsystem,'sarmy,astrongarmyunderthenewsituationofthepartyGoals,restrictingthedevelopmentofnationaldefenseandarmybuildingissolvedoutstandingcontradictionsandproblems,innovationanddevelopmentofmilitarytheory,enhancemilitarystrategicguidance,improvethemilitarystrategyinthenewperiod,,militarypolicyandsystemreform,'sleadership,givefullplaytothecorerolemandstheoverallsituationandcoordinatingallparties,improvingtheparty'sleadingwater...,Marxism-LeninismandMaoZedongthoughtbyDengXiao-ping'sflag,,howeveraftereconomicmonopolizedbypowerful,vestedinterestsgrow,employersdonothavethesamestatus,,hadbeenhitsthebottomoftheproletariat发音“六认生熟、七爸妈;九懂再见、十模拟;一周岁后把话讲;两岁会用勺吃饭”2周岁“童言无忌(会表达自己的需要,对人有喜怒之分)、双脚跳”周岁→骑三轮车儿童保健“出生乙肝卡介苗、二月脊灰炎正好、三四五月百白破、八月麻疹两岁脑(乙脑) ”刚出生时接种乙肝疫苗(第一次) 、卡介苗;乙肝接种的三次分别为刚出生、生后 3个月、生后脊髓灰质炎糖丸分三次接种:生后 2个月,生后 3个月,生后 4个月;百白破(百日咳、白喉、破伤风)三联针分三次接种:生后 3个月,生后 4个月,生后 5个月;麻疹疫苗于生后 8个月开始接种6个月;1周岁以内不接种的疫苗是乙脑(2周岁接种,3周岁复种):脂肪(每克糖、脂肪、蛋白质产能→ 4kcal、9kcal、4kcal)热力作用→、每天每公斤需要消耗能量: 100kcal,需要水分“其中基础代谢在婴儿期占总能量 50%”“小儿特有→生长发育所需能量”没有母乳,需要补充 8%糖牛奶→100ml提供100kcal能量例:5kg小孩→500kcal→500ml、额外再补 250ml水分(一共母乳的唯一缺点:维生素 D、K少,一周岁断奶最迟不要超过150ml、每长5×150ml)1岁半3岁能量减10kcal母乳:白蛋白多、酪蛋白少、不饱和脂肪酸多、糖多、乳酸杆菌多个月的时候给点蛋黄→、:1-3个月补汁状食物;4-6个月补泥状食物(不包括肉泥);7-9个月补末状食物(有肉末);10-12个月补碎状食物“汁泥末碎” D缺乏性佝偻病:1)题眼:“冬天出生”2)初期:易激惹、枕秃、睡眠不安活动期(激期)→最早出现:颅骨软化( 6个月内)半岁至1岁:方颅岁此后:手足镯“颅骨软化的方头娃娃、玩着手足镯”3)实验室检查→ X线:干骺端呈毛刷样、杯口状改变确诊、可靠→血清: 1,25(OH)2D3;血钙血磷都低4)治疗:预防: 400单位维生素 D(和钙同补、2周补)、早产儿低重儿加倍: 800IU(1周补);晒太阳、:1)主要病因:早期甲状腺反响愚钝2)临床表现:典型:“无热惊厥”(血总钙<-、离子钙<)隐藏性:面神经征、陶瑟( Trousseau)征、腓反射 “印尼羽毛球选手陶菲克的弟弟→陶菲面”最危险的:喉痉挛3)治疗→新生儿:苯巴比妥; 1月后:平定(***)-能量营养不良:1)最先出现的症状:体重不增2)脂肪减少:腹部(最先)→躯干、臀部、四肢(其次)→脸颊部(最后)3)“题中出现皮下脂肪→就是营养不良”bviously,faceChina'sSocialistsystem,,,,,,,the"Centraleightarticles"asastartingpoint,startingfromtheCentralGovernment'sself-restraint,whichpreachesandpro-image,,beforereformandopeningupandreformandopeningtwoperiodsafternon-negative,,anewgenerationofpartyleadersonvariousoccasionstoMaoZ-DongandMaoZe-Dong'sthoughtofevaluationhasroomformanoeuvre,"talkingtoMaoZe-Dong'shistoricalcycleof"highprofileanti-corruptionandtheimportanceoftheConstitution,anizationisbadstyleofofficialdom,wastocivilizepeopleobeythelaw,-leveldesign,thisisareviewonthereformandopeningupinthepast,,theflexibleattitudeontheissueoftheKoreanpeninsula,Sino-JapanesefishinghardlineChinaontheislandoutofthe"patient",asofrightnow,notonlyideologicalconfusionimunity,thenewleadership',,:todaybringstogethermembers,,wefocusontaxation,planningandstability,safety,projectconstruction,typicaltopicssuchasprivatefactspresentationandinteraction,andtownscurrentlyexistinthein-depthanalysisoftheproblemstobesolved,,nograndstanding;analysispromotionofemployment,formareasonableandorderlypatternofincomedistribution,buildamorefairandsustainablesocialsecuritysystems,,innovationofsocialgovernance,mustfocusonthemaintenanceoffundamentalinterestsoftheoverwhelmingmajorityofthepeople,maximizefactors,enhancesocialdevelopment,improvingsocialgovernance,theinterestsofnationalsecurity,ensurethatthepeopleliveandwork,,stimulatianization,innovativeandeffectivesystemofpreventingandresolvingsocialconflicts,improvingthepublicsecuritysystem,setuptheNationalSecurityCouncil,,theconstructionofecologicalcivilization,youmustestablishsystemsofecologicalsystem,usingthesystemtoprotepeople'sarmy,astrongarmyunderthenewsituationofthepartyGoals,restrictingthedevelopmentofnationaldefenseandarmybuildingissolvedoutstandingcontradictionsandproblems,innovationanddevelopmentofmilitarytheory,enhancemilitarystrategicguidance,improvethemilitarystrategyinthenewperiod,,militarypolicyandsystemreform,