文档介绍：Liqun liu
CHILDREN OBESITY
Department Of Pediatrics
第五章第六节(2)
中南大学儿科学教研室
PURPOSE AND REQUIREMENT
To master the diagnosis and treatment
of children obesity.
To be familiar with the etiology and
pathophysiology of children obesity.
To be familiar with the clinical
manifestation of children obesity.
肥胖症(Obesity)是由于能量摄入长期超过人体的消耗,使体内脂肪过度积聚、体重超过一定范围的一种营养障碍性疾病。
定义
分类
单纯性肥胖症
(Simple obesity)
继发性肥胖症
(Secondary obesity)
Excessive intake of nutrients
Inadequate exercise
Inherit factors
The others
ETIOLOGY
SIMPLE OBESITY
影响小儿健康
活动不便
易感染,甚至出现心肺功能不全
心理障碍
成年期并发症
高血压(Hypertension)
冠心病(Coronary heart disease)
糖尿病(Diabetes)
胆石症(Cholelithiasis)
痛风(gout)
危害性
病理生理
营养素摄入> 机体消耗
多余的能量转化为脂肪
人体脂肪细胞数量
人体脂肪细胞体积
肥胖
病理生理
肥胖
脂肪代谢
蛋白质
代谢
内分泌
变化
高脂血症
尿酸
糖尿病
肥胖骨质病
男性性功能低下
女性月经不调不孕
动脉硬化
冠心病
高血压
胆石症
痛风
CLINICAL MANIFESTATIONS
Ages: it often occurs in the 1st yr of life, at 5~
6 yr of age, and during adolescence.
Symptoms
Good appetite,be fond of sweetmeats and diet fry
Fatigue, panting, and the Pickwickian syndrome
Psychologic obstacle
体征(signs)
体脂丰满,分布均匀
皮肤紫纹( purple striae)
扁平足和膝外翻
(The flatfoot and genu valgum )
男性阴茎(penis)隐藏在脂肪组织中
CLINICAL MANIFESTATIONS