4岁的孩子患有复杂的注意力缺陷多动性障碍,已修复了严重的先天性心脏病和自闭症谱系障碍
Kathleen Campbell1, Kate E Wallis1,2, Lyla El-Messidi Hampton3
1Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Journal of developmental and behavioral pediatrics : JDBP
|November 26, 2024
概括
先天性心脏病 (CHD) 增加了注意力缺陷多动症障碍 (ADHD) 的风险. 在心脏病患者的儿童中,ADHD药物可以安全地使用,只要在心脏病专家的合作下,与行为疗法一起,仔细管理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经发育儿科 神经发育儿科
- 儿童精神病学 儿童精神病学
背景情况:
- 先天性心脏病 (CHD) 是已知的发育迟缓和注意力缺陷多动性障碍 (ADHD) 的风险因素.
- 专门的诊所监测患有冠状动脉疾病的儿童,以发现新出现的发育,学习和行为问题.
研究的目的:
- 介绍一个关于在患有复杂性心脏病的儿童中管理同时出现的ADHD的案例研究.
- 突出ADHD药疗在患有心脏病的儿科患者的安全性和有效性.
主要方法:
- 一个4岁男孩的病例介绍,该男孩患有修复的法洛特四重症和心室隔膜缺陷.
- 自闭症谱系障碍和ADHD组合型的诊断.
- 管理涉及药物治疗,行为治疗和与心脏病学密切合作.
主要成果:
- 这个孩子接受了早期干预,包括特殊教育和应用行为分析.
- 在与心脏病专家的合作下,启动并调整了ADHD药物治疗.
- 患者在综合治疗和药物管理下表现出学术和社会改善.
结论:
- 治疗ADHD的药物治疗在患有心脏病的儿科患者中被认为是安全的.
- 心脏病专家和处方临床医生之间的仔细监督和跨学科合作至关重要.
- 行为疗法为自闭症和ADHD等共发生的疾病提供了跨诊断的好处.
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