医疗虐待儿童与医疗复杂性的交叉点

The Intersection of Medical Child Abuse and Medical Complexity.

作者信息

Petska Hillary W, Gordon John B, Jablonski Debra, Sheets Lynn K

机构信息

Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.

出版信息

Pediatr Clin North Am. 2017 Feb;64(1):253-264. doi: 10.1016/j.pcl.2016.08.016.

DOI:10.1016/j.pcl.2016.08.016

PMID:27894448

Abstract

Children with medical complexity and victims of medical child abuse may have similar clinical presentations. Atypical or unexplained signs and symptoms due to rare diseases may lead providers to suspect medical child abuse when not present. Conversely, medical child abuse may be the cause of or coexist with medical complexity. Careful consideration of whether or not medical child abuse is present is essential when assessing a child with medical complexity since either diagnosis has significant consequences for children and families.

摘要

患有复杂疾病的儿童和医疗虐待儿童的受害者可能有相似的临床表现。罕见疾病导致的非典型或无法解释的体征和症状可能会使医疗服务提供者在不存在医疗虐待的情况下怀疑存在医疗虐待。相反，医疗虐待可能是复杂疾病的病因或与之并存。在评估患有复杂疾病的儿童时，仔细考虑是否存在医疗虐待至关重要，因为任何一种诊断对儿童及其家庭都有重大影响。