Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02114, USA.
Pediatrics. 2010 Jan;125 Suppl 1:S19-29. doi: 10.1542/peds.2009-1878D.
Children with autism spectrum disorders (ASDs) can benefit from adaptation of general pediatric guidelines for the diagnostic evaluation of abdominal pain, chronic constipation, and gastroesophageal reflux disease. These guidelines help health care providers determine when gastrointestinal symptoms are self-limited and when evaluation beyond a thorough medical history and physical examination should be considered. Children with ASDs who have gastrointestinal disorders may present with behavioral manifestations. Diagnostic and treatment recommendations for the general pediatric population are useful to consider until the development of evidence-based guidelines specifically for patients with ASDs.
自闭症谱系障碍(ASD)儿童可以从儿科一般指南的适应性中受益,这些指南用于评估腹痛、慢性便秘和胃食管反流病。这些指南帮助医疗保健提供者确定胃肠道症状是自限性的,还是应该考虑进行全面的病史和体格检查以外的评估。患有胃肠道疾病的 ASD 儿童可能会出现行为表现。在制定专门针对 ASD 患者的循证指南之前,考虑一般儿科人群的诊断和治疗建议是有用的。