隐形腹部创伤查在评估怀疑儿童身体虐待的评估
Tagrid M Ruiz-Maldonado1, Joanne N Wood2, Antoinette L Laskey1
1The University of Utah, Department of Pediatrics, Center for Safe & Healthy Families, Primary Children's Hospital, Salt Lake City, Utah.
概括
在疑似虐待儿童的案件中,常规的转氨酶查隐藏腹部创伤 (OAT) 经常进行,但CT成像不是. 低OAT患病率表明,如果没有腹部损伤迹象,可能不需要查.
科学领域:
- 儿科急救医学 儿科急救医学
- 儿童虐待 儿科 儿科
- 放射学 放射学是指放射学
背景情况:
- 对于怀疑身体虐待,建议使用透氨酶和腹部CT查隐性腹部创伤 (OAT).
- 目前的做法和评估儿童的OAT患病率还没有得到很好的定义.
研究的目的:
- 评估与幼儿OAT评估相关的病例特征.
- 确定因怀疑身体虐待而接受评估的儿童的OAT患病率.
主要方法:
- 对60个月以下的儿童进行回顾性分析,这些儿童因怀疑身体虐待而被评估.
- 排除有明显腹内损伤迹象的儿童.
- 后勤回归用于识别与转氨酶查和CT成像相关的因素.
主要成果:
- 在64.6%的符合条件的儿童中进行了转氨酶查;17.3%的儿童的水平升高 (>80 IU/L).
- 腹部CT在43.4%的儿童中进行,这些儿童的转氨基酶水平升高.
- 在2.3%的高查儿童和0.3%的符合条件儿童中发现了OAT.
结论:
- 转胺酶查是常见的,但CT成像尽管水平升高,但频率较低.
- 低OAT患病率表明,当没有腹部损伤迹象时,常规查可能是不必要的.
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