在虐待儿童时测试出血障碍:AAP建议的遵守和测试结果
Lyndsey Hultman1, Angela Doswell2, Henry T Puls3
1Division of Child Adversity and Resilience, Children's Mercy Hospital, University of Missouri Kansas City School of Medicine, Kansas City, MO, United States of America.
Child abuse & neglect
|March 30, 2025
概括
根据美国儿科学会 (AAP) 的指导方针,对出血障碍检测的遵守率很低,并且在各中心之间存在差异. 在患有伤或内出血 (ICH) 的儿童中发现了罕见的出血障碍.
科学领域:
- 儿科医学 儿科医学
- 儿童虐待 儿科 儿科
- 血液学 血液学 血液学
背景情况:
- 虐待儿童的评估通常包括对潜在的医疗状况的评估.
- 美国儿科学会 (AAP) 为怀疑虐待病例的出血障碍测试提供了指导方针.
- 遵守这些指南的变化可能会影响诊断和护理.
研究的目的:
- 为了评估遵守AAP的出血障碍测试建议,在怀疑虐待的儿童中测试.
- 为了确定在这个人群中识别出血障碍的频率.
- 分析不同中心测试实践的变化.
主要方法:
- 使用来自儿童虐待儿科网络 (CAPNET) 的数据进行了一项描述性研究.
- 包括10岁以下有伤和/或内出血 (ICH) 的儿童,涉及滥用.
- 遵守AAP测试建议和识别出血障碍的速度是主要结果.
主要成果:
- 分析了2491名儿童;25.1%符合AAP的测试标准.
- 测试完成率很低:在伤方面为10.5%,在ICH方面为33.1%.
- 在0.7%的病例中发现了出血障碍,在检测增加的中心有更高的发病率.
结论:
- 在疑似虐待儿童案件中遵守AAP出血障碍测试指南是不一致的,并因中心而异.
- 虽然很少见,但在这个患者群体中存在出血障碍.
- 标准化实施AAP指南可能会提高诊断产量.
相关概念视频
Assessment of apical pulse
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Disorders of Hemostasis
Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Blood Typing
Understanding an individual's blood group is a critical component of transfusion medicine. It ensures compatibility in blood transfusions, organ transplants, and even during pregnancy. Determining these blood groups involves the ABO and Rh blood typing systems, utilizing specific antigens and corresponding anti-sera to identify an individual's blood type.
Antigens are protein molecules that reside on the surface of red blood cells (RBCs). The ABO and Rh blood typing systems target antigens A,...
Antigens are protein molecules that reside on the surface of red blood cells (RBCs). The ABO and Rh blood typing systems target antigens A,...
Blood Transfusion
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...


