3 孤獨(dú)癥臨床路徑

1、臨床路徑臨床路徑（孤獨(dú)譜系障礙（孤獨(dú)譜系障礙AutismSpectrumDisder）日期天數(shù)初診治療治療預(yù)期結(jié)果監(jiān)測(cè)評(píng)估出生史評(píng)估發(fā)育史評(píng)估（Parentalconcernsrelevanttoautism）家族史評(píng)估兒童ABC量表（2歲）CARS量表兒心量表嬰兒初中生社會(huì)生活評(píng)定量表化驗(yàn)報(bào)告分析治療后情緒、行為評(píng)估檢查VEEGBAEP頭顱MRICT血生化、血乳酸程度合并癥共患病兒童ABC量表（3個(gè)月一次）治療藥物治療告知：藥物（al

2、）：氟哌啶醇、奮乃靜、葉酸、VitB6、鎂劑、左洛復(fù)（善曲林）、維思通（利培酮）等教育干預(yù)行為矯正治療決定合適的用量以及是否需要繼續(xù)服用。飲食指導(dǎo)限制某些食物如糖、人工甜味劑、咖啡因、油炸、辛辣食物等活動(dòng)指導(dǎo)1.應(yīng)用行為分析療法（ABA）2.感覺統(tǒng)合訓(xùn)練3.聽覺統(tǒng)合訓(xùn)練（AIT）4.語言訓(xùn)練5.結(jié)構(gòu)化教育情緒評(píng)估行為觀測(cè)記錄評(píng)估備注醫(yī)師簽名注：ABC量表（AutismBehaviChecklist）：為家長評(píng)定量表，共57個(gè)項(xiàng)目4級(jí)評(píng)分

3、，53分疑診，67分確Parentalconcernsrelevanttoautism(i)Communicationconcerns?Doesnotrespondtoname?Cannottellmewhathewants?Languageisdelayed?Doesntfollowdirections?Appearsdeafattimes?Seemstohearsometimesbutnotothers?Doesntpointwav

4、ebyebye?Usedtosayafewwdsbutnowhedoesnt(ii)Socialisationconcerns?Doesntsmilesocially?Seemstoprefertoplayalone?Getsthingsfhimself?Isveryindependent?Doesthings`early?Haspoeyecontact?Isinawldofhisown?Ignesus?Isnotinterestedi

5、notherchildren(iii)Behaviouralconcerns?Tantrums?Ishyperactiveuncooperativeoppositional?Doesntknowhowtoplaywithtoys?Getsstuckonthingsoverover?Toewalks?Hasunusualattachmentstotoys(e.g.alwaysisholdingacertainobject)?Linesth

6、ingsup?Isoversensitivetocertainsoundstextures?Hasoddmovementpatterns(iv)Absoluteindicationsfimmediatefurtherevaluation?Nobabblingby12months?Nogesturing(pointingwavingbyebyeetc.)by12months?Nosinglewdsby16months?No2wdspont