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医学中的人文主义:儿科医生在自闭症谱系障碍中的关键作用。

Humanism in medicine: The critical role of pediatricians in autism spectrum disorder.

作者信息

Loyacono Nicolás, Ferreira María L, Iermoli Roberto

机构信息

Hospital de Clínicas José de San Martín (HCJSM), Buenos Aires, R. Argentina.

Planta Piloto de Ingeniería Química (PLAPIQUI)-Universidad Nacional del Sur (UNS)-Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bahía Blanca, R. Argentina.

出版信息

Arch Argent Pediatr. 2019 Jun 1;117(3):195-197. doi: 10.5546/aap.2019.eng.195.

Abstract

In this article, we describe the importance of coexisting medical problems in the diagnosis of autism spectrum disorder (ASD). It is worth noting the role of pediatricians as health care providers trained to assess, test, diagnose, and treat such conditions during childhood. The population diagnosed with ASD is systemically vulnerable. ASD is the name given to a group of symptoms resulting from a systemic, dynamic, chronic encephalopathy according to the model proposed by Martha Herbert, M.D. (Harvard, USA). Based on this model, we may describe the circumstances of patients' families who, in Argentina, are unable to find answers on the coexisting medical problems in the diagnosis of ASD according to the psychoanalytic, genetic, and neurodiversity models. It is necessary to review current models in the setting of humanism in medicine because, so far, results have not been as expected.

摘要

在本文中,我们阐述了并存的医学问题在自闭症谱系障碍(ASD)诊断中的重要性。值得注意的是,儿科医生作为经过培训以在儿童期评估、检测、诊断和治疗此类病症的医疗保健提供者所发挥的作用。被诊断患有ASD的人群在系统上较为脆弱。根据美国哈佛大学医学博士玛莎·赫伯特提出的模型,ASD是指由一种系统性、动态性、慢性脑病导致的一组症状。基于该模型,我们可以描述阿根廷患者家庭的情况,这些家庭无法根据精神分析、遗传和神经多样性模型找到关于ASD诊断中共存医学问题的答案。有必要在医学人文主义的背景下审视当前的模型,因为到目前为止,结果并未如预期那样。

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