男孩性早熟，七成有潜在疾病 The boy precocious puberty,Seventy percent had potential disease

　　9岁前睾丸增大快去检查 Before the age of 9 testicular increase fast to check

　　受访专家/中山大学孙逸仙纪念医院小儿内分泌科副主任医师 梁立阳 Interviewed experts/sun yat-sen university sun yat-sen memorial hospital pediatric endocrinologist of doctor of vice director of LiangLiYang

　　一副天真无邪的面孔，却长着成人的身体，对于性早熟的孩子来说，不仅会影响身高，还有可能会因为自卑造成严重的心理疾病。更糟的是，男孩子性早熟，七成是因为潜在的重大疾病所致。小儿内分泌专家提醒，如果男孩9岁之前出现睾丸增大、小鸡鸡长大、个子猛长等都应该尽早到小儿内分泌科就医。

A face of innocence,But long the adult body,For precocious puberty for children,Will not only affect height,And may be because inferiority cause serious mental illness.worse,Boys precocious puberty,Seventy percent because of potential major disease caused by.Pediatric endocrine experts remind,If the boy appeared before the age of 9 testicular increase/Chicken chicken grow up/Is meng long, and so should go to a doctor as soon as possible to the pediatric endocrinologist.

　男孩性早熟病因更复杂 The boy precocious puberty causes more complex

　　性早熟，通俗地说就是过早地出现性发育。全国儿童内分泌学组目前对性早熟的定义是：女孩在8岁以前出现乳房发育等第二性征，或在10岁以前月经初潮；男孩在9岁以前出现睾丸增大等第二性征，并伴有体格的过速发育。

Precocious puberty,Popularly say be prematurely appear sexual development.The national children's endocrine committee at present to precocious puberty is defined:The girl in 8 years ago appear mammary development secondary sex characteristics, etc,Or in 10 years ago menarche;The boy in the nine years ago appear testicular increase secondary sex characteristics, etc,With the development of medical tachycardia.

　　从临床来看，男孩出现性早熟的案例较女孩少见。中山大学孙逸仙纪念医院的小儿内分泌科副主任医师梁立阳说，一般来说，10个来就诊的性早熟孩子，其中8个左右是女孩，只有一两个是男孩，但是男孩一旦出现性早熟，寻找病因相当困难，治疗起来也十分棘手。

From clinical to see,The boy appeared precocious puberty case a girl rare.Sun yat-sen university sun yat-sen memorial hospital pediatric endocrinologist of doctor of vice director of LiangLiYang said,Generally speaking,10 to see a doctor the child precocious puberty,Around 8 of them is a girl,Only one or two is a boy,But the boy once appear precocious puberty,Looking for cause quite difficult,It is also very difficult treatment.

　　最近，中山大学孙逸仙纪念医院的小儿内分泌科收治一名来自湖南的小男孩。这孩子只有7岁，但脸上已经开始长痘痘，在五六岁的时候，孩子的个子长得很快，家长还特别开心，但是没过多久，发现孩子的生殖器开始变大，甚至开始变声，到7岁时，声音就像一个成年男子。到医院检查，结果发现孩子的骨龄已经到了13岁半，并出现了第二性征发育，也就是男孩典型的性早熟表现。

recently,Sun yat-sen university sun yat-sen memorial hospital pediatric endocrinologist treated a little boy from hunan.The boy was only 7 years old,But long blain blain on the face has started,In five or six years old,The child's smaller quickly,Parents are so happy,But before long,Found the child's genital began to become larger,Even started cracking,To 7 years old,Sound like a grown man.To the hospital the examination,The results showed that children's bone age has come to 13 years old half,And the emergence of the secondary sex characteristics growth,Is the boy typical precocious puberty performance.

　　梁立阳说，女孩的性早熟往往是因为吃了含有雌激素的食物、药物或使用了含雌激素的用品，基本上是摄入外源性雌激素所致，是单纯的发育早，但男孩的性早熟则多数是因为有先天性疾病、遗传性疾病或肿瘤所致，如先天性肾上腺皮质增厚症、肾上腺肿瘤、睾丸间质细胞瘤和家族性睾丸中毒病等。所以，可以说，男孩子的性早熟病情更复杂，治疗更棘手，绝不简单只是个子长不高的问题了。

LiangLiYang said,The girl's precocious puberty often because ate the food containing estrogen/Drugs or use the products containing estrogen,Intake is basically caused by exogenous estrogen,The development of early is simple,But the boy's precocious puberty is most because a congenital disease/Hereditary disease or caused by tumor,Such as congenital adrenal cortical thickening disorder/Adrenal tumors/Leydig cell tumor and familial testicular poisoning disease, etc.so,Can say,The boy's precocious puberty illness more complex,Treatment more difficult,Never simple just smaller not high question.

　　男孩子的性早熟只有一部分可以使用生长激素来帮助长个子，有家族性糖尿病、乙肝大三阳等疾病的孩子均不可能使用生长激素治疗。

The boy's precocious puberty only some can use growth hormone to help long tall,Have familial diabetes/Second liver is big 3 this world and other diseases of children are not may use of growth hormone treatment.

　　9岁前出现睾丸增大要警惕 Before the age of 9 appear testicular increase to alert

　　对于男孩子来说，性早熟很有可能是某一种疾病的表现，所以，家长更是要提高警惕。

For for boys,Precocious puberty is likely to be a kind of disease performance,so,Parents is to need to remain vigilant.

　　那么，家长如何尽早发现孩子性早熟呢？梁立阳说，睾丸增大是男孩子性早熟最早出现的重要特征，遗憾的是，家长对男孩性早熟往往发现得比较迟。梁立阳说，女孩子性早熟，乳腺先发育，胸部会突起，家长能早发现。但男孩性早熟不太容易发现，往往是家长发现孩子突然变声、长痤疮才带孩子到医院看病。一检查，生殖器已经发育了。

so,Parents how to find the early children precocious puberty?LiangLiYang said,Testicular increase is boys precocious puberty appears the earliest important characteristics,It is a pity that,The parents of the boy precocious puberty tend to find more later.LiangLiYang said,Girls precocious puberty,Breast development first,Chest will flash,Parents can early detection.But the boy precocious puberty not too easy to find,Is often parents discover the child suddenly cracking/Long acne just take the child to hospital.A check,Genital has been developed.

　　专家指出，家长除了在日常生活中要多留心观察孩子是否有第二性征过早出现外，9岁以前男孩子身高增长突然加速也是性早熟的一个信号，此时家长不应盲目乐观。孩子的生长速率加快，由于骨成熟加剧也将导致骨骺过早闭合，从而缩短身高生长的时限，可导致身材矮小。

Experts point out that,Parents except in the daily life be on the lookout for children have secondary sex characteristics to appear prematurely outside,9 years old boy height growth suddenly accelerated precocious puberty is a signal,The parents should not be optimistic blindly.The child's growth rate to speed up,Due to the bone mature aggravate will also lead to epiphyseal premature closure,So as to shorten the time limit for the height growth,Can lead to short stature.

　　所以，怀疑孩子有这方面的问题时，家长应及时带孩子去医院咨询、就诊，以免错过最佳治疗时机。如果女孩等到月经来潮，男孩等到已出现变声、喉结、痤疮才开始治疗，则对改善身高来说为时已晚。

so,Children suspected have the problem,Parents should promptly take children to the hospital consultation/See a doctor,In order to avoid miss the best treatment opportunity.If the girl until menstruating,The boy until the appeared crack/Adam's apple/Acne began to treatment,Is it too late to improve height.

Tips Tips

　　性早熟到小儿内分泌科就诊 Precocious puberty to pediatric endocrinologist see a doctor

　　性早熟是内分泌的疾病，家长可以带孩子到小儿内分泌科就诊。目前开设小儿内分泌科的医院不多。很多家长也不知道该带孩子去哪个科室就诊，往往去了儿童保健科、中医科、营养科。小儿性早熟需要专业的知识，做相关的检查才能找到病因。

Precocious puberty is endocrine diseases,Parents can bring children to the pediatric endocrinologist see a doctor.Now we offer pediatric endocrinologist hospital not much.Many parents also do not know to should take children to which section office to see a doctor,Often went to the children's department of health/Traditional Chinese medicine department/Nutrition division.Pediatric precocious puberty need professional knowledge,Do related inspection to find the cause.

　　广州开设了小儿内分泌科的医院有———

Guangzhou opened the pediatric endocrinologist hospital have -- -

　　中山大学附属第一医院、中山大学孙逸仙纪念医院、中山大学附属第三医院、广州市妇女儿童医疗中心、广东省妇幼保健院。(张华 王海芳)

The first affiliated hospital of sun yat-sen university/Sun yat-sen university sun yat-sen memorial hospital/The third affiliated hospital of sun yat-sen university/Guangzhou medical center of women and children/Maternal and children health care centers of guangdong province.(Zhang hua WangHaiFang)