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目的:探讨汉语儿童阅读障碍(CRD)的临床表现与分型特点.方法:采用ICD－10诊断标准和汉语阅读技能诊断测验(CRSDT),对114名3~6年级CRD儿童和131名正常儿童作对照研究和聚类分析.结果:CRD表现为汉字形－音/形－义识别障碍、阅读流畅性、准确性差和理解困难;6年级患儿的阅读技能明显低于3年级正常儿童的水平;其阅读障碍可分为三型:(1)单字识别障碍型,占21.6％;(2)词、句理解困难型,占8.1％;(3)混合型,占70.3％;汉字识别以形－音伴形－义识别障碍较为突出;单纯形－义识别障碍较少而轻,属高一级水平的认知发展迟滞.结论:CRD儿童在汉字的解码识别和记忆、阅读速度和准确性以及词、句理解等方面持续存在明显障碍,表现为不同的认知发展和神经语言学亚型,与汉语成人失读症和国外拼音文字儿童阅读障碍有所不同.“,”Objective: To explore the clinical features and subtypes of children with Chinese readingdisorder (CRD). Methods:According to the diagnostic criteria of specific reading disorder (SRD) of the ICD-10, 114 children diagnosed with CRD by clinic interview and 131 controls randomly sampled from the same classes were assessed with the Chinese reading skill diagnostic test (CRSDT). Results: CRD children manifested recognition deficiency of Chinese character, reading slowly, incorrectly and inter...