Brown Kelly A, Parikh Sonia, Patel Dilip R
Department of Pediatric and Adolescent Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
Transl Pediatr. 2020 Feb;9(Suppl 1):S9-S22. doi: 10.21037/tp.2019.11.04.
Developmental diagnosis is based on an understanding of basic concepts of typical and atypical developmental progression. Child development is influenced by multiple factors, including the development of the nervous system and other organ systems, and the child's physical and social environment. Different factors interplay with each other in influencing the overall development of the child. Development and behavior of the child are intricately associated. Typical child development follows certain basic principles. Some of the more commonly reported developmental concerns include global developmental delay, intellectual disability, cerebral palsy, delayed speech and language, attention deficits, autism, and specific learning disabilities. The clinical presentation of atypical development varies, depending up on the age of the child; with motor delay in early infancy, and learning difficulties in school age child. Regular surveillance and periodic screening help identify specific areas of developmental and behavioral concerns and suggest a need for further appropriate psychological, medical and laboratory evaluation. The principles of management of a child with developmental concerns include early intervention and response to treatment approach, remediation, accommodation, and specific behavioral and pharmacological interventions when indicated.
发育诊断基于对典型和非典型发育进程基本概念的理解。儿童发育受多种因素影响,包括神经系统和其他器官系统的发育,以及儿童的身体和社会环境。不同因素在影响儿童整体发育过程中相互作用。儿童的发育和行为密切相关。典型的儿童发育遵循某些基本原则。一些较常报告的发育问题包括全面发育迟缓、智力残疾、脑瘫、言语和语言发育迟缓、注意力缺陷、自闭症以及特定学习障碍。非典型发育的临床表现因儿童年龄而异;婴儿早期表现为运动迟缓,学龄期儿童表现为学习困难。定期监测和定期筛查有助于识别发育和行为问题的特定领域,并提示需要进一步进行适当的心理、医学和实验室评估。对有发育问题儿童的管理原则包括早期干预和治疗反应方法、康复、适应,以及在必要时进行特定的行为和药物干预。