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[针对医生怀疑有发育障碍儿童的发育咨询:马斯特里赫特的早期经验]

[The development consultation for children in whom the physician suspects a developmental disorder: early experiences in Maastricht].

作者信息

van der Linden-Kuiper L, Ausems-van Herten T

机构信息

Het Groene Kruis Heuvelland, Maastricht.

出版信息

Ned Tijdschr Geneeskd. 1998 May 2;142(18):1027-9.

PMID:9623205
Abstract

The so-called development consultation of the Heuvelland health care organization in Maastricht was organized with a view to early detection of developmental disorders in young children (< or = 6 years), thereby minimizing dysfunctioning. Health centre physicians, general practitioners and school doctors can refer children aged 0-6 years to this combined consultation hour of a paediatrician, a children's neurologist, a children's physiotherapist and in some cases, an educationalist and a speech therapist. After the starting-up phase, the number of referred children was three to six per month. The referring physician is usually present at the joint consultation after the examinations. At this meeting it is attempted to arrive at a diagnosis or at least to draw up a treatment plan. After the meeting, the child's parents or guardians are informed of the team's findings. The first group of 60 children included 9 with a cerebral paresis and 18 with retarded motor development and speech retardation; 8 children were referred for exclusion of neurological/cerebral abnormalities.

摘要

马斯特里赫特赫弗兰医疗保健组织开展的所谓发育咨询活动,旨在尽早发现幼儿(≤6岁)的发育障碍,从而尽量减少功能失调情况。健康中心医生、全科医生和校医可将0至6岁的儿童转介至此次由儿科医生、儿童神经科医生、儿童物理治疗师以及某些情况下的教育学家和言语治疗师共同参与的咨询时段。在启动阶段之后,每月被转介的儿童数量为三至六名。转诊医生通常会在检查后的联合咨询时到场。在此次会议上,力求做出诊断或至少制定出治疗方案。会议结束后,会将专家组的检查结果告知孩子的父母或监护人。首批60名儿童中,9名患有脑瘫,18名运动发育迟缓且伴有语言发育迟缓;8名儿童因排除神经/脑部异常情况而被转介。

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