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阴道异物和儿童性虐待:一个重要的考虑因素。

Vaginal foreign bodies and child sexual abuse: an important consideration.

机构信息

University of Maryland School of Medicine, Department of Pediatrics, Division of Pediatric Emergency Medicine, Baltimore, Maryland.

出版信息

West J Emerg Med. 2013 Sep;14(5):437-9. doi: 10.5811/westjem.2013.1.13347.

DOI:10.5811/westjem.2013.1.13347
PMID:24106536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3789902/
Abstract

Vaginal foreign bodies are a complaint occasionally encountered in pediatric clinics and emergency departments, and when pediatric patients present with a vaginal foreign body sexual abuse may not be considered. We describe two children with vaginal foreign bodies who were found to have been sexually abused. Each child had a discharge positive for a sexually transmitted infection despite no disclosure or allegation of abuse. We recommend that all pre-pubertal girls who present with a vaginal foreign body should be considered as possible victims of sexual abuse and should receive a sexual abuse history and testing for sexually transmitted infections.

摘要

阴道异物是儿科诊所和急诊科偶尔会遇到的一种投诉,如果儿科患者出现阴道异物,可能不会考虑性虐待。我们描述了两名患有阴道异物的儿童,他们被发现遭受了性虐待。尽管没有披露或指控虐待,但每个孩子的分泌物都呈性传播感染阳性。我们建议所有出现阴道异物的青春期前女童都应被视为性虐待的可能受害者,并应接受性虐待史和性传播感染检测。

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1
Vaginal foreign bodies and child sexual abuse: an important consideration.阴道异物和儿童性虐待:一个重要的考虑因素。
West J Emerg Med. 2013 Sep;14(5):437-9. doi: 10.5811/westjem.2013.1.13347.
2
Vaginal foreign bodies and child sexual abuse.阴道异物与儿童性虐待。
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Child sexual abuse unmasked due to vaginal foreign body: case review.因阴道异物导致的儿童性虐待被揭露:病例回顾。
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本文引用的文献

1
Common conditions that mimic findings of sexual abuse.常见的可模拟性虐待发现的情况。
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Urinary tract infection as a single presenting sign of multiple vaginal foreign bodies: case report and review of the literature.尿路感染作为多种阴道异物的单一表现体征:病例报告及文献综述
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Epidemiology of sexually transmitted infections in suspected child victims of sexual assault.疑似性侵犯儿童受害者的性传播感染流行病学
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Vaginal foreign body presenting as bleeding with defecation in a child.一名儿童因排便时出血就诊,诊断为阴道异物。
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Foreign body in the vagina of a 3(1/2)-year-old child: sexual abuse or a childish prank?一名3岁半女童阴道内有异物:是性虐待还是儿童恶作剧?
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Vaginal discharge and bleeding in girls younger than 6 years.6岁以下女童的阴道分泌物及出血
J Urol. 2006 Dec;176(6 Pt 1):2632-5. doi: 10.1016/j.juro.2006.08.056.
7
Common gynecologic problems in prepubertal girls.青春期前女孩常见的妇科问题。
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The evaluation of sexual abuse in children.儿童性虐待的评估
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Vaginal foreign bodies.阴道异物
J Paediatr Child Health. 2004 Apr;40(4):205-7. doi: 10.1111/j.1440-1754.2004.00338.x.
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Genital foreign bodies.
Pediatr Rev. 1998 Jan;19(1):34.