Wheeler D M, Hobbs C J
Department of Paediatrics and Child Health, St James's University Hospital, Leeds.
Br Med J (Clin Res Ed). 1988 Apr 30;296(6631):1233-6. doi: 10.1136/bmj.296.6631.1233.
Fifty children who were referred to the child abuse team in Leeds over the 10 years 1976-86 with suspected non-accidental injury were found to have conditions which mimicked non-accidental injury. These included impetigo (nine children) and blue spots (five children). Five children who presented with multiple bruising had haemostatic disorders. Eight children had disorders of the bone. Five children had been previously abused physically. Four showed evidence of neglect. One had evidence of non-accidental injury as well as the condition mimicking abuse. It is emphasised that when child abuse is suspected a sensitive and thorough assessment should be carried out by a paediatrician who is experienced in this.
在1976年至1986年的10年间，被转介至利兹虐待儿童问题小组、疑似遭受非意外伤害的50名儿童，被发现患有类似非意外伤害的病症。其中包括脓疱病（9名儿童）和青斑（5名儿童）。5名出现多处瘀伤的儿童患有止血障碍。8名儿童患有骨骼疾病。5名儿童曾遭受身体虐待。4名儿童有被忽视的迹象。1名儿童既有非意外伤害的证据，又有类似虐待的病症。需要强调的是，当怀疑存在虐待儿童的情况时，应由经验丰富的儿科医生进行敏感且全面的评估。
