Study on the Clinical Aspect of Failure to Thrive. |
Hyung Keun Nam, Myung Ik Lee, Don Hee Ahn, Keun Chan Sohn |
Department of Pediatrics, National Medical Center, Seoul, Korea |
영유아 성장 장애에 대한 임상적 고찰 |
남형근, 이명익, 안돈희, 손근찬 |
국립의료원 소아과 |
Received: 8 June 1988 • Accepted: 23 September 1988 |
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Abstract |
Failure to thrive means infants and children whose growth and often development are significantly
below expected stanards, usually below the third percentile.
It is relatively apt to develop during the first 2 years of life.
The clinical observations were made on 79 patients of failure to thrive who were diagnosed at
pediatric dept., National Medical Center from January, 1981 to June, 1986.
The results were as follows:
1) The incidence of failure to thrive was 3.4%, i.e. 79 cases from 2,320 admitted cases.
2) The age distribution showed 64 cases(80.9%) of children less than 6 months of age and 75
cases(94.9%) of children less than 12 months of age.
3) Among failure to thrive, the height, head circumference and chest circumference, which were
below the 50 th percentile, were 95.9%, 89.1 %, 85.5% respectively.
4) The organic causes occupied 64 cases (81.0 %), non-organic causes 12 cases (15.2%) and
undetermined 3 cases (3.8%). The organic causes were by far more than non-organic.
5) Among organic causes, the gastrointestinal disease 18 cases (27.8%), and the respiratory tract
disease 17 cases (26.5%) were much more than other diseases, which included in decreasing order,
urinary tract infection, congenital heart disease and central nervous system disease.
6) The non-organic causes were composed of environmental deprivation 7 cases (8.9%) and
inadequate caloric intake, 5 cases (6.3%). |
Key Words:
Failure to thrive |
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