患有症儿童的复杂多动症
Tyler Lackey1, Demvihin Ihyembe2, Zachary Riemenschneider3
1Oklahoma University College of Medicine, Oklahoma City, OK.
概括
本案例研究检查了一名患有注意力缺陷多动症 (ADHD) 的12岁男孩,尽管服用药物,但他经历了破坏性行为和动的恶化. 它强调了在儿童ADHD治疗中需要调整药物治疗的必要性.
科学领域:
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
- 神经发育障碍 神经发育障碍
背景情况:
- 一名12岁的男孩在9岁时被诊断出患有多动症,他每天服用OROS甲基化物54毫克.
- 药物治疗改善了注意力,但父母报告说,在18个月内,破坏性行为和滴答增加了.
- 行为包括动,抽动作 (在集中或兴奋时更强烈),以及口头冲动.
研究的目的:
- 为了评估儿童ADHD病例的药物管理,以及新出现的破坏性行为和滴答.
- 确定适当的调整刺激药物,以改善症状控制.
主要方法:
- 一个患有ADHD的12岁男孩的临床案例介绍.
- 审查有关行为变化和学业表现的家长和教师报告.
- 在临床访问期间,直接观察患者的动,抽动作和口头冲动.
主要成果:
- 患者表现出持续的不安,破坏性行为,以及非自愿的抽动作,特别是在集中注意力期间.
- 学业成绩显示,尽管之前的药物疗效,但最近的学业成绩有所下降.
- 观察到的是短暂的,手的抽动作,没有发声.
结论:
- 这一案例强调了管理儿科多动症的复杂性,因为症状表现可能会演变.
- 滴答和破坏性行为的出现需要重新评估当前的兴奋剂治疗方案.
- 进一步的药物调整或替代治疗策略是适合在这个患者的最佳症状管理.
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