Saccomani L
Divisione e Cattedra di Neuropsichiatria Infantile, Istituto Gaslini, Genova, Italia.
Pediatr Med Chir. 1990 Nov-Dec;12(6):643-5.
Several Authors report the pathogenetic factors of developmental language disorders, some clinical features, the evaluation criteria, the treatment prospects aimed also at learning disorders. 163 children with language disorders have been examined: M98, F65; range 2.8-6.2 ys, mean 5.1 ys. The study of verbal comprehension and production and the evaluation of cognitive level, of language function, of communicative abilities, of handedness was performed. The diagnostic evaluation results: uncomplicated language retardation (31.2%), developmental dysphasia (7.4%), acquired aphasia (0.6%), dysphasia/cognitive retardation (36.8%), language retardation/deafness (10.4%), stuttering (6.8%), relational disorders (6.8%). The pathogenetic features are the following: organic factors (early brain damage 51%, early otopathies 10%), environment factors (24%, partly as joined factors), emotive disorders (11%), familiarity (10%), no determinable etiology (2%). The Author remarks some therapeutic strategies and evolution prospects of the different language disorders. In order to attain early diagnosis and treatment it seems advisable to increase cognitive-linguistic examination in preschool age and to start rehabilitation services at nursery-school.
几位作者报告了发育性语言障碍的致病因素、一些临床特征、评估标准以及针对学习障碍的治疗前景。对163名语言障碍儿童进行了检查：男性98名，女性65名；年龄范围2.8 - 6.2岁，平均5.1岁。对言语理解与表达以及认知水平、语言功能、沟通能力、用手习惯进行了评估。诊断评估结果如下：单纯性语言发育迟缓（31.2%）、发育性言语困难（7.4%）、获得性失语症（0.6%）、言语困难/认知发育迟缓（36.8%）、语言发育迟缓/失聪（10.4%）、口吃（6.8%）、关系障碍（6.8%）。致病特征如下：器质性因素（早期脑损伤51%，早期耳部疾病10%）、环境因素（24%，部分为联合因素）、情感障碍（11%）、家庭因素（10%）、病因不明（2%）。作者阐述了不同语言障碍的一些治疗策略和发展前景。为了实现早期诊断和治疗，在学龄前增加认知 - 语言检查并在幼儿园开始康复服务似乎是可取的。
