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目的 探讨病前具有一定语言功能(倒退型)孤独症儿童的临床特征。方法 对2 0 0 1年11月至2 0 0 3年10月就诊于中南大学湘雅二院精神卫生研究所符合美国精神障碍诊断和统计手册第4版(DSM -Ⅳ)孤独症诊断标准的儿童孤独症5 3例,根据病前是否有语言功能分为两组,倒退型组2 3例,非倒退型组30例。结果 倒退型组孤独症儿童较非倒退型组儿童在语言和社交方面损害明显,同时倒退型组假性社交型的发生率较高。结论 及时发现和识别孤独症儿童语言倒退及假性社交,是早期诊断有一定语言功能的儿童孤独症的关键。
Objective To explore the clinical features of premorbid children with autism language (retrograde type). Methods From November 2011 to October 2003, they were referred to the Institute of Mental Health, Xiangya Second Hospital, Central South University, in line with the diagnostic criteria for autism in the fourth edition of the American Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) Fifty-three children with autism were divided into two groups according to whether they had language function or not, retrograde type group (23 cases) and non-retrograde type group (30 cases). Results Children with autism in retrograde group had greater impairment in language and social than those in non-retrograde group, and the incidence of pseudo-social type was higher in retrograde group. Conclusion The timely detection and identification of children with autism language regression and pseudo-social, early diagnosis of children with certain language features autism is the key.