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由于虐待儿童而造成的腹部损伤
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
概括
诊断内部腹部损伤的虐待儿童是一个挑战. 小肠损伤在被虐待的儿童中明显更常见,需要仔细考虑,特别是在轻微跌倒后.
科学领域:
- 儿科手术 儿科手术
- 虐待儿童 法医学 儿童虐待 法医学
- 创伤研究 创伤研究
背景情况:
- 由于研究有限,诊断儿童因虐待而造成的腹部内脏损伤具有挑战性.
- 儿童的腹部受伤可能是由于虐待或意外造成的,需要精确的区分.
研究的目的:
- 确定0-14岁儿童因虐待而造成的腹部损伤的发生率.
- 为了比较虐待儿童和意外受伤儿童的腹部损伤的特征和原因.
主要方法:
- 利用了英国儿科监测部门对虐待病例和创伤审计和研究网络对意外伤害的数据.
- 分析了0-14岁儿童的受伤类型,患者人口统计和结果.
主要成果:
- 确定了20名与虐待相关的腹部受伤的儿童和164名意外受伤的儿童 (道路交通事故和跌倒).
- 在5岁以下的儿童中,与虐待有关的腹部损伤的发生率为每百万儿童/年2.33.
- 在被虐待的儿童中,小肠损伤明显更常见 (11例),而不是因跌倒而受伤的儿童 (5例).
结论:
- 小肠损伤可以发生在事故中,但在虐待儿童的案件中更为普遍.
- 小孩子的腹部受伤,特别是小肠受伤,如果是由于轻微的跌倒造成的,则需要特别注意.
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