非眼科医生诊断摇晃婴儿综合征视网膜出血的准确性。
Nonophthalmologist accuracy in diagnosing retinal hemorrhages in the shaken baby syndrome.
作者信息
Morad Yair, Kim Yuri M, Mian Marcellina, Huyer Dirk, Capra Louise, Levin Alex V
机构信息
Department of Ophthalmology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
出版信息
J Pediatr. 2003 Apr;142(4):431-4. doi: 10.1067/mpd.2003.161.
Nonophthalmologists did not attempt to (36%) or were "unable to" (19%) examine the fundus in 72 children with shaken baby syndrome. When the retina was examined, nonophthalmologists were accurate in recognizing the absence or presence of retinal hemorrhage in 87%. However, false-negative examinations occurred in 13%. Ophthalmology consultation should be an integral part of the evaluation of children with suspected abuse.
在72例患有摇晃婴儿综合征的儿童中，非眼科医生未尝试（36%）或“无法”（19%）检查眼底。在检查视网膜时，非眼科医生识别视网膜出血有无的准确率为87%。然而，假阴性检查发生率为13%。眼科会诊应成为疑似受虐儿童评估的一个组成部分。
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