<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;margin-left:0pt; text-indent:0pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; ">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;margin-left:0pt; text-indent:132pt;"><span style="font-family:方正小标宋简体;font-size:22pt; "><font face="方正小标宋简体">宝爸宝妈们，今天宝宝的维生素</font><font face="方正小标宋简体">AD吃了吗？</font></span></p>
<p align="center" style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-align:center;">&nbsp;</p>
<p align="center" style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-align:center;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; ">&nbsp;&nbsp;<font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">AD到底怎么补？补到几岁？补多了会中毒吗？</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">最新指南来了</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; ">&nbsp;&nbsp;</span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><span>1.<span>&nbsp;</span></span></span><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">什么是维生素</font><font face="仿宋,仿宋_GB2312">AD？</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; ">&nbsp;<font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A、D是人体生长发育所必需的脂溶性维生素，特别对胎儿、婴幼儿发育非常重要。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; ">&nbsp;</span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A又名视黄醇，维持暗视觉，促进视力发育，促进上皮细胞再生、增强免疫及促进造血功能、维持生殖功能、促进生长发育和骨骼健。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A缺乏：视力障碍（夜盲症、干眼症等）、免疫力下降（感染增加）、生长发育受阻（严重时升高落后、牙釉质易脱落、失去光泽、容易发生龋齿）、皮肤病变（皮肤干燥、毛囊性丘疹、指甲变脆易折）、贫血（类似缺铁性贫血）、心理行为发育异常（多动症、孤独症、抽动症）等。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D包括D2（植物性）、D3（动物性）；有两大作用：内分泌功能（小肠钙转运、骨代谢、肾钙重吸收、胰岛素分泌等）</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">旁分泌功能（抑制细胞增殖、免疫调节）</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D缺乏：骨骼发育不良、免疫力下降、心理行为异常、过敏、肥胖、增加成年后心血管疾病风险等，在新生儿中，可导致呼吸窘迫综合征、支气管肺发育不良。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">2.怎么补充维生素AD？</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">近来调查显示，我国</font><font face="仿宋,仿宋_GB2312">0—18岁儿童中维生素AD缺乏和不足普遍存在。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">2024年中国儿童维生素AD临床应用专家共识：每日补充才能预防其缺乏，建议每日补充：</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A：1500U—2000U，</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D：400—800U，维生素D3优于D2</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">划重点：出生一周内补充，持续补充（</font><font face="仿宋,仿宋_GB2312">0-18岁），AD同补，每日补充不间断。</font></span></p>
<div style="overflow-x:auto">
<table border="1" cellspacing="0" style="font-size:10pt;font-family:'Times New Roman';text-justify:inter-ideograph;text-align:justify;border-collapse:collapse;width:523.5pt;margin-left:6.75pt; margin-right:6.75pt;border:none;box-sizing:border-box;word-break:break-word">
  <tbody>
    <tr style="height:37.7pt;">
      <td width="123" valign="top" style="width:92.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">补充措施</font></span></p>
      </td>
      <td width="295" valign="top" colspan="2" style="width:221.4pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:80pt; "><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">健康儿童</font></span></p>
      </td>
      <td width="279" valign="top" colspan="3" style="width:209.4pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">早产儿、低出生体重儿、</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">多胞胎（</font><font face="仿宋,仿宋_GB2312">0-1岁），1岁后按健康儿童补</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
      </td>
    </tr>
    <tr style="height:23.65pt;">
      <td width="123" valign="top" style="width:92.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">补充年龄</font></span></p>
      </td>
      <td width="139" valign="top" style="width:104.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">0-1岁</font></span></p>
      </td>
      <td width="155" valign="top" style="width:116.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">1-18岁</font></span></p>
      </td>
      <td width="118" valign="top" colspan="2" style="width:88.5pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">前</font><font face="仿宋,仿宋_GB2312">3个月</font></span></p>
      </td>
      <td width="161" valign="top" style="width:120.9pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">3个月后</font></span></p>
      </td>
    </tr>
    <tr style="height:62.65pt;">
      <td width="123" valign="top" style="width:92.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">每天补充计量</font></span></p>
      </td>
      <td width="139" valign="top" style="width:104.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A 1500U</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">+</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D 400U</font></span></p>
      </td>
      <td width="155" valign="top" style="width:116.7pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A 1500-2000U</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">+</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D 400-800U</font></span></p>
      </td>
      <td width="117" valign="top" style="width:88.25pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A2000U</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">+</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D800U</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:0pt;">&nbsp;</p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
      </td>
      <td width="161" valign="top" colspan="2" style="width:121.15pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A2000U</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">+</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D800U</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
      </td>
    </tr>
  </tbody>
</table>
</div>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">3.维生素AD中毒及处理</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">每日补充生理需要量不会引起中毒，只有摄入异常大剂量才会中毒。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<div style="overflow-x:auto">
<table border="1" cellspacing="0" style="font-size:10pt;font-family:'Times New Roman';text-justify:inter-ideograph;text-align:justify;border-collapse:collapse;width:531.4pt;border:none;box-sizing:border-box;word-break:break-word">
  <tbody>
    <tr>
      <td width="64" valign="top" style="width:48.4pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font></span></p>
      </td>
      <td width="333" valign="top" style="width:250.15pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">急性中毒</font></span></p>
      </td>
      <td width="310" valign="top" style="width:232.85pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:1px solid windowtext;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">慢性中毒</font></span></p>
      </td>
    </tr>
    <tr>
      <td width="64" valign="top" style="width:48.4pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">A</font></span></p>
      </td>
      <td width="333" valign="top" style="width:250.15pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">一次或短时间内连续数次服用大剂量维生素</font><font face="仿宋,仿宋_GB2312">A，</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">如婴幼儿一次食用或注射</font><font face="仿宋,仿宋_GB2312">30万U以上。</font></span></p>
      </td>
      <td width="310" valign="top" style="width:232.85pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">多因不遵医嘱长期过量摄入维生素</font><font face="仿宋,仿宋_GB2312">A，如婴幼儿</font></span></p>
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">每天摄入</font><font face="仿宋,仿宋_GB2312">5-10万U，超过6个月。</font></span></p>
      </td>
    </tr>
    <tr>
      <td width="64" valign="top" style="width:48.4pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">D</font></span></p>
      </td>
      <td width="644" valign="top" colspan="2" style="width:483pt;padding:0pt 5.4pt 0pt 5.4pt ;border-left:1px solid windowtext; border-right:1px solid windowtext; border-top:none;border-bottom:1px solid windowtext; ">
      <p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt;"><font face="仿宋,仿宋_GB2312">婴幼儿每天摄入</font><font face="仿宋,仿宋_GB2312">2-5万U，连续数周或数日；或每日2000U/kg，连续1-3个月。</font></span></p>
      </td>
    </tr>
  </tbody>
</table>
</div>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "> </span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A中毒：</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:32pt; "><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">急性中毒：颅内高压症状：头疼、呕吐、烦躁或嗜睡、囟门饱满或闭合延迟等，</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">慢性中毒：</font><font face="仿宋,仿宋_GB2312">X线检查：管状骨造型，骨质吸收，骨折，骺板改变及软组织肿胀，</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">骨干处骨膜下新骨形成，颅缝增宽，前囟饱满扩大。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">A显著增高，可达1000-6000ug/L以上（婴幼儿正常范围：300—500ug/L）。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><b><span style="font-family:仿宋,仿宋_GB2312;font-weight:bold; font-size:16pt;"><font face="仿宋,仿宋_GB2312">处理及预后：</font></span></b></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:32pt; "><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">停止摄入，自觉症状在</font><font face="仿宋,仿宋_GB2312">1-2周内消失，2-3月骨骼改变逐渐恢复，一般不需特殊处理，预后良好。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">维生素</font><font face="仿宋,仿宋_GB2312">D中毒：</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:32pt; "><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">胃肠道症状；恶心、呕吐、厌食、腹痛、肠蠕动减少、腹胀、便秘。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">肾脏代谢失衡症状：烦渴、多尿、脱水、血尿、高血压、低镁血症。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">中枢神经系统症状：</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:32pt; "><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">注意力不集中、头疼、嗜睡</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-weight:normal; font-size:16pt;"><font face="仿宋,仿宋_GB2312">心血管症状：</font></span><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">血压升高、心动过速、心电图</font><font face="仿宋,仿宋_GB2312">ST段抬高、房室传导阻滞。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">骨质疏松表现：</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:32pt; "><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">肌无力、骨痛、骨量减少等。</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;">&nbsp;</p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">处理及预后：</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-indent:32pt; "><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">停止摄入，如有高钙血症应限制钙的摄入，应用药物加速钙的排泄。</font></span></p>
<p align="right" style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;margin-bottom:0.0001pt;margin:0pt;margin-right:-67.6000pt;text-align:right;"><span style="font-family:仿宋,仿宋_GB2312;font-size:16pt; "><font face="仿宋,仿宋_GB2312">——新生儿科陈华蓉</font></span></p>
<p style="font-size:10.5pt;font-family:Calibri;text-justify:inter-ideograph;text-align:justify;margin-bottom:0.0001pt;margin:0pt">&nbsp;</p>