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1981年11月-1994年12月,我院共鉴定独生子女病残儿400例。除10例未发现明显异常外,余下的疾病有百余种,大致分了七类,神经系统疾病200例(50%),其中智力低下(MR)174例,又占神经系统疾病中的87%,说明MR已是当前引致小儿残疾的主要疾患。先天性遗传性疾病215例,占了总数的53.75%,说明加强优生与孕期保健工作的重要性。作者对可生育二胎者随机随访了54例,36例(66.7%)已生育了二胎,大部小儿生长健康,仅2例异常,1例6个月死于心肌炎,另一例为出生低体重(2250g),似乎与第一胎之残疾关系不大。说明病残儿医学鉴定小组的监护对第二胎的出生质量是至关重要的。
From November 1981 to December 1994, our hospital identified 400 disabled children of only child. Except for 10 cases, no obvious abnormalities were found. There were more than 100 kinds of the remaining diseases, divided into seven categories and 200 cases of nervous system diseases (50%). Among them, there were 174 cases of mental retardation (MR) and 87 cases of nervous system diseases %, Indicating that MR is currently the main cause of pediatric disability. 215 cases of congenital hereditary diseases, accounting for 53.75% of the total, indicating the importance of strengthening eugenics and pregnancy health care. The authors randomized 54 children with a second child and 36 (66.7%) had a second child, most of whom were healthy and only 2 had an abnormality. One died of myocarditis at 6 months and the other was Low birth weight (2250g) seems to have little to do with the disability of the first child. Show that the guardianship of a disabled child medical appraisal team is crucial to the quality of the second child’s birth.