婴幼儿期孤独症的临床诊断  

Clinical Diagnosis of Childhood Autism

作　　者：陈佩丽[1] 

机构地区：[1]深圳市儿童医院儿童保健科,广东深圳518026

出　　处：《实用儿科临床杂志》2007年第3期216-217,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的分析婴幼儿期孤独症临床特征,为早期诊断提供依据。方法分析58例孤独症婴幼儿的早期症状,并采用0-6岁小儿神经心理发育检查表、婴幼儿孤独症筛查表（CHAT）及儿童孤独症评定量表（CARS）进行测评,分析各量表临床应用价值。结果婴幼儿期已存在明显临床表现,大多数发育商低下（88.2%）,且在智商5个能区里智能发育不平衡,CHAT及CARS量表测定结果阳性率分别为62.1%和96.6%。结论婴幼儿期孤独症患儿即出现明显发育、行为障碍,应引起重视。Objective To analyze the clinical characteristics of childhood autism and provide concrete evidence for early diagnosis.Methods The early clinical features of 58 cases of autism in children were analyzed and furtherly measured by the neuropsychological deve-lopment inventory for children aged 0-6 years old, checklist for autism in toddlers（CHAT） and childhood autism rating scale（CARS）, then their clinical effects were analyzed.Results There were clear clinical manifestations during childhood, moreover the majority of the children′s development quotient（DQ） were lower （88.2%）,and the 5 sub DQs were imbalance. The positive rates of CHAT and CARS measurement results were 62.1% and 96.6%,respectively.Conclusion There are obvious development and behavior disorders in autism children, and they are need to be paid a great attention.

关 键 词：孤独症 婴幼儿 诊断 

分 类 号：R749.94[医药卫生—神经病学与精神病学]