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评估因性虐待而就诊于一家三级医院的女性儿童:八年经验。

Assessment of the sexually abused female children admitted to a tertiary care hospital: Eight year experience.

机构信息

Leyla Mollamahmutoglu, Obstetrics and Gynecology Specialist, Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Research and Education Hospital, Ankara, Turkey.

Ozlem Uzunlar, Obstetrics and Gynecology Specialist, Department of Obstetrics and Gynecology, Zekai Tahir Burak Women's Health Research and Education Hospital, Ankara, Turkey.

出版信息

Pak J Med Sci. 2014 Sep;30(5):1104-7. doi: 10.12669/pjms.305.5274.

Abstract

OBJECTIVE

To discuss the medical, social and legal characteristics of the child sexual abuse and to provide a perspective for gynecologists on this topic.

METHODS

A retrospective analysis was carried out of the medicolegal records of female children below the age of 18 referred to a tertiary teaching hospital and diagnosed as being exposed to sexual abuse within the family between the years of 2004 to 2012.

RESULTS

One hundred and thirty-nine cases were diagnosed as being exposed to sexual abuse during the 8 year period, 23 of them (16.5%) had been involved in sexual abuse within the family. Eleven out of 23 had been admitted as part of a legal process while the rest were reported by a third person.

CONCLUSION

Since sexual abuse within the family is a taboo in Islamic societies, the diagnosis can take a long time. Recognition of sexually abused children, providing early performance of medicolegal examinations, and applying standardized medical guidelines are essential to protect these children.

摘要

目的

讨论儿童性虐待的医学、社会和法律特征,并为妇科医生提供该主题的视角。

方法

对 2004 年至 2012 年间在一家三级教学医院就诊的被诊断为家庭内性虐待的 18 岁以下女性儿童的法医记录进行回顾性分析。

结果

在 8 年期间,诊断出 139 例性虐待病例,其中 23 例(16.5%)涉及家庭内性虐待。23 例中有 11 例是作为法律程序的一部分入院,其余则是由第三人报告的。

结论

由于家庭内性虐待在伊斯兰社会是一种禁忌,因此诊断可能需要很长时间。识别受性虐待的儿童,及早进行法医检查,并应用标准化的医疗指南,对于保护这些儿童至关重要。

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本文引用的文献

1
Reported child sexual abuse in Bahrain: 2000-2009.巴林2000 - 2009年报告的儿童性虐待情况。
Ann Saudi Med. 2011 Jul-Aug;31(4):376-82. doi: 10.4103/0256-4947.83218.
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Surgical aspects of child sexual abuse.儿童性虐待的外科问题
Eur J Pediatr Surg. 2009 Feb;19(1):10-3. doi: 10.1055/s-2008-1038763. Epub 2009 Feb 16.
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Prevalence of childhood sexual abuse among Mexican adolescents.墨西哥青少年中儿童期性虐待的患病率。
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Paternal and sibling incest: a case report.父系与同胞乱伦:一例报告
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The evaluation of sexual abuse in children.儿童性虐待的评估
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