1. Growth & Developmental delay in children 兒童生長與發展遲緩 洪焜隆 國泰綜合醫院小兒科 台北醫學大學兼任教授

2. Fetal growth

3. Normal children stages Normal children stages o Neonate (newborn) (0-30 days) o Infant (baby) (1 month-1 year) o Toddler (1-4) o Primary school age (4-12) o Adolescence and puberty (teenage) (13-19) o Young adult (19-25 ) Normal children stages o Neonate (newborn) (0-30 days) o Infant (baby) (1 month-1 year) o Toddler (1-4) o Primary school age (4-12) o Adolescence and puberty (teenage) (13-19) o Young adult (19-25 ) Normal children stages o Neonate (newborn) (0-30 days) o Infant (baby) (1 month-1 year) o Toddler (1-4) o Primary school age (4-12) o Adolescence and puberty (teenage) (13-19) o Young adult (19-25 ) Normal children stages o Neonate (newborn) (0-30 days) o Infant (baby) (1 month-1 year) o Toddler (1-4) o Primary school age (4-12) o Adolescence and puberty (teenage) (13-19) o Young adult (19-25 ) o Neonate (newborn) (0-30 days) o Infant (baby) (1 month-1 year) o Toddler (1-4) o Prmary school age (4-12) o Adolescence and puberty (teenage) (13-19) o Young adult (19-25)

4. Growth formula (average) Weight Birth 3-12mo 1-6yr 7-12yr Kg 3.25 Age(mo) + 9 2 Age(yr) × 2 + 8 Age(yr) × 7 - 5 Height Birth 1yr 2-12 yr cm 50 75 Age(yr) × 6 + 77

6. 0-6 歲男生身高生長曲線 (1999 衛生署資料 )

7. (1999 衛生署資料 )

8. (1999 衛生署資料 )

9. (1999 衛生署資料 )

10. Body proportional change

11. Sex maturation rate (SMR)

12. Sex maturation rate (SMR)

17. 嬰幼兒期，突觸成長最快 初生時 六歲 十四歲

18. Developmental milestones

21. Prone posture NB 2m 4m 6m

23. Early Reflex Pattern Moro reflex

24. 吸吮反射 (Sucking reflex) 抓握反射 (Grasp reflex)

25. Early Reflex Pattern Tonic neck reflex

26. Landau reflex Postural activities in 7m/o infant supported in ventral suspension

27. Parachute reflex

28. Traction response

31. 教育積木

32. 圖形 (1)

33. Picture

34. Draw

35. Tower

41. 腦源性的功能異常可以造成許多種障礙 腦功能異常 抽痙藥 僵化 營養不良 學習 障礙 萎縮 感染 吞嚥異常 便秘 膀胱功能 自閉症 精神異常 攻擊 副作用 巨結腸 尿道炎 胃炎 / 肺炎 尿失禁 骨質疏鬆 腸阻塞等 精神性藥物 多種外傷 骨折 貧血 / 慢性肺病等 之副作用 癲癇 運動障礙 餵食障礙 平滑肌功能障 認知異常 行為障礙

50. Peri-Sylvian polymicrogyria (cortical dysplasia) 7 m/o seizure, microcephaly and developmental delay T1: Rt hemiatrophy & with malformation of the operculum. T2: Thick cortical ribbons over Rt operculum Rt insula exposed due to under-and/or maldeveloped operculum

51. 何貫儀 1.5y/o M Lissencephaly 1.5 y/o M seizure & developmental delay

52. 邱浩安 2m/o Male DCC 2m/o Male DCC Pachygyria with dysgenesis of corpus callosum 2 m/o male Hypotonia

53. What’s wrong with 6/m child?

54. What’s wrong with 5 y/o child?

55. What’s wrong with 10 y/o child?