孤独症；病例分析；儿童_____孤独症；病例分析；儿童

儿童孤独症107例临床分析

http://www.100md.com 《新疆医科大学学报》 2006年第7期

孤独症；病例分析；儿童,,孤独症；病例分析；儿童,摘要,关键词,1对象和方法,2结果,3讨论,参考文献

     摘要: 目的: 探讨儿童孤独症的病因、发病机理、诊断及早期干预。方法: 对107例孤独症患儿的生物学因素(妊娠史、出生史、抽搐史、家族史)、家庭因素(父母性格、家庭教育情况)、病历主诉、感觉统合评定和辅助检查(脑CT、脑电图、听力测试、染色体)结果进行回顾性分析。结果: 107例孤独症患儿中有异常妊娠史者27例，异常出生史者27例，异常家族史者19例，有抽搐史者20例。不良教育方式占61.7%。病历主诉中，语言交流障碍所占比例最大(73.8%)。感统失调者66例(61.7%)。常规脑电图、脑CT检查发现部分异常。染色体检查无特异性，脑干听觉诱发电位(BAEP)出现异常。结论: 生物学因素异常及抽搐的发生等与孤独症的发病有密切关系；以语言发育迟缓及多动、注意力分散为主诉的儿童病例应考虑孤独症的可能；应及早进行干预并对患儿家长进行指导。

    关键词：孤独症；病例分析；儿童

    Analyse of 107 cases of autism children

    WU Xiaoning, Reyila·Abudu, SONG Xinglan, et al

    (Department of Children Health Care, Children Hospital, Urumqi 830002, China)

    Abstract: Objective: To explore the pathogeny, mechanism and diagnosis of autism. Methods: One hundred and seven cases of autism children were studied about biologic factors (pregnancy, birth, seizure, family), family factors, chief complaint, assess of sensory integration and assistant examinations (CT, EEG, aural test, chromosome). Results: The abnormity in biologic factors was generally seen among the autism children and the language development disability was mainly the chief compliant (73.8%). Most of them sensory integrative dysfunction. BAEP may be abnormal. Conclusions: There was relationship between the abnormality of pregnancy, birth, family, seizure and the pathogeny of autism; the probability of autism should be paid attention to when the language development disability was the chief compliant; a good guide is necessary for these children′s parents. ......

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