Hagan Joseph F, Balachova Tatiana, Bertrand Jacquelyn, Chasnoff Ira, Dang Elizabeth, Fernandez-Baca Daniel, Kable Julie, Kosofsky Barry, Senturias Yasmin N, Singh Natasha, Sloane Mark, Weitzman Carol, Zubler Jennifer
University of Vermont College of Medicine, Burlington, Vermont;
University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Pediatrics. 2016 Oct;138(4). doi: 10.1542/peds.2015-1553.
Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, and adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated with prenatal exposure. This Special Article outlines clinical implications and guidelines for pediatric medical home clinicians to identify, diagnose, and refer children regarding neurobehavioral disorder associated with prenatal exposure. Emphasis is given to reported or observable behaviors that can be identified as part of care in pediatric medical homes, differential diagnosis, and potential comorbidities. In addition, brief guidance is provided on the management of affected children in the pediatric medical home. Finally, suggestions are given for obtaining prenatal history of in utero exposure to alcohol for the pediatric patient.
受产前酒精暴露影响的儿童和青少年，若其脑损伤表现为神经认知、自我调节和适应性功能的功能障碍，则最适合被诊断为与产前暴露相关的神经行为障碍。这篇专题文章概述了儿科医疗之家临床医生识别、诊断和转诊与产前暴露相关的神经行为障碍儿童的临床意义和指南。重点关注可被识别为儿科医疗之家护理一部分的报告或可观察到的行为、鉴别诊断和潜在的合并症。此外，还提供了关于儿科医疗之家中受影响儿童管理的简要指导。最后，给出了获取儿科患者宫内酒精暴露产前史的建议。
