针对两名患有回避/限制性食物摄入障碍的自闭症青少年营养不良和唾液积聚的强化多学科喂养干预。

文献信息

中文摘要

背景： 自闭症青少年中的回避-限制性食物摄入障碍（ARFID）可能表现出异质性症状。本病例系列展示了对两名患有恐惧型ARFID的自闭症青少年的治疗，这两名患者均表现出显著的喂养倒退，导致体重急剧下降、营养不良和鼻胃管置入。两名患者均拒绝所有经口摄入，并已停止吞咽唾液。发育和社会障碍可能延迟了获得照护的机会。本病例系列说明了医学和发育状况所施加的多重、相互交织的挑战，并为临床实践提供了创伤知情建议。

英文摘要

Avoidant-restrictive food intake disorder (ARFID) in autistic youth may present with heterogeneous symptoms. The present case series illustrates the treatment of two autistic adolescents with fear-based ARFID who both displayed significant regressions in feeding that led to precipitous weight loss, malnutrition, and nasogastric tube placement. Both patients refused all oral intake and had stopped swallowing saliva. Developmental and social barriers likely delayed access to care. This case series illustrates the multiple, intersecting challenges imposed by medical and developmental conditions and provides trauma-informed recommendations for clinical practice.