Ellerbeck Kathryn, Smith Catherine, Courtemanche Andrea
Center for Child Health and Development, University of Kansas Medical Center, 3901 Rainbow Blvd. MS 4003, Kansas City, KS 66160, USA.
Center for Child Health and Development, University of Kansas Medical Center, 3901 Rainbow Blvd. MS 4003, Kansas City, KS 66160, USA.
Prim Care. 2015 Mar;42(1):85-98. doi: 10.1016/j.pop.2014.09.004. Epub 2014 Dec 18.
Autism spectrum disorder (ASD) is both common and complicated. Many children with ASD are not identified until school age. The primary care physician (PCP) plays a vital role in recognizing the symptoms of ASD and in making referrals for definitive diagnosis. Most children with ASD also have co-occurring learning, medical, and/or mental health problems that require collaboration across the educational, medical, and mental health systems. This article reviews the symptoms of ASD, screening tools for school-aged children suspected of having ASD, and the PCP's role in identifying ASD and managing co-occurring conditions in the primary care medical home.
自闭症谱系障碍（ASD）既常见又复杂。许多患有ASD的儿童直到学龄期才被确诊。初级保健医生（PCP）在识别ASD症状以及进行确诊转诊方面发挥着至关重要的作用。大多数患有ASD的儿童还同时存在学习、医疗和/或心理健康问题，这需要教育、医疗和心理健康系统之间的协作。本文回顾了ASD的症状、针对疑似患有ASD的学龄儿童的筛查工具，以及初级保健医生在初级保健医疗环境中识别ASD和管理并发疾病方面的作用。
