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Lesiones abdominales debido al abuso infantil
Peter M Barnes1, Catherine M Norton, Frank D Dunstan
1Department of Child Health, Cardiff University, Academic Centre, Llandough Hospital, Penarth CF64 2XX, UK.
Lancet (London, England)
|July 19, 2005
Resumen
Diagnosticar el abuso infantil con lesiones abdominales internas es un desafío. Las lesiones del intestino delgado son significativamente más comunes en niños abusados, lo que requiere una cuidadosa consideración, especialmente después de caídas menores.
Área de la Ciencia:
- Cirugía pediátrica en cirugía pediátrica.
- Abuso Infantil Médico Forense Médico Forense
- Investigaciones sobre el trauma.
Sus antecedentes:
- El diagnóstico de lesiones abdominales internas en niños debido al abuso es un desafío debido a la investigación limitada.
- Las lesiones abdominales en los niños pueden ser el resultado de abuso o accidentes, lo que requiere una diferenciación precisa.
Objetivo del estudio:
- Determinar la incidencia de lesiones abdominales resultantes de abuso en niños de 0 a 14 años.
- Para comparar las características y causas de las lesiones abdominales en niños maltratados versus niños lesionados accidentalmente.
Principales métodos:
- Utilizó datos de la Unidad de Vigilancia Pediátrica Británica para casos de abuso y la Red de Auditoría e Investigación de Trauma para lesiones accidentales.
- Se analizaron los tipos de lesiones, la demografía de los pacientes y los resultados para niños de 0 a 14 años.
Principales resultados:
- Identificó a 20 niños con lesiones abdominales relacionadas con el abuso y 164 con lesiones accidentales (accidentes de tráfico y caídas).
- La incidencia de lesiones abdominales relacionadas con el abuso fue de 2,33 por millón de niños/año en los menores de 5 años.
- Las lesiones del intestino delgado fueron significativamente más comunes en niños abusados (11 casos) en comparación con los lesionados por caídas (5 casos).
Conclusiones:
- Las lesiones del intestino delgado pueden ocurrir por accidentes, pero son significativamente más frecuentes en casos de abuso infantil.
- Las lesiones abdominales, particularmente en el intestino delgado, en niños pequeños merecen una atención especial si se atribuyen a caídas menores.
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