Oral Resmiye, Koc Feyza, Smith Jacob, Sato Yutaka
Child Protection Program, University of Iowa, Iowa City, IA, USA.
Pediatr Emerg Care. 2011 Nov;27(11):1072-4. doi: 10.1097/PEC.0b013e3182360620.
Child abuse can often be very difficult to identify. This is especially true in cases of abuse by suffocation. Suffocation often leaves no external physical marks and presents with vague, nonspecific symptoms. Infants who have been suffocated usually present unexplained apnea, cyanosis, or seizure. Moreover, new-onset seizures can be mistaken for an organic seizure disorder. This case report reviews a case of abuse by suffocation, which presented as new-onset status epilepticus. This case illustrates that suffocation can be difficult to diagnose despite the recognition of red flags that should prompt an investigation for abuse.
虐待儿童往往很难识别。在窒息虐待的情况下尤其如此。窒息通常不会留下外部身体痕迹，症状模糊且不具特异性。遭受窒息的婴儿通常会出现不明原因的呼吸暂停、发绀或癫痫发作。此外，新发癫痫发作可能会被误诊为器质性癫痫障碍。本病例报告回顾了一例以新发癫痫持续状态形式出现的窒息虐待病例。该病例表明，尽管认识到一些应促使对虐待进行调查的危险信号，但窒息仍可能难以诊断。
