[儿童浸泡烧伤与虐待]
[Burns by immersion in children and abuse].
作者信息
Ridel P, Lemesle M, Vabres N, Lancien U, Perrot P
机构信息
Service de chirurgie plastique et reconstructrice, centre des brûlés, CHU de Nantes, hôpital Hôtel Dieu, 44093 Nantes cedex 01, France.
Unité d'accueil des enfants en danger (UAED), pédiatrie, CHU de Nantes, hôpital femme-enfant-adolescent, 44093 Nantes cedex 01, France.
出版信息
Ann Chir Plast Esthet. 2020 Feb;65(1):31-35. doi: 10.1016/j.anplas.2019.07.022. Epub 2019 Aug 14.
AIM OF THE STUDY
Ten percent of childhood burns could arise from maltreatment. While describing 6 severe cases of inflicted scalds by immersion in children, we expose our systematic diagnostic approach of abuse and confirm the serious nature of burn when they are inflicted.
PATIENTS AND METHOD
The retrospective study concerned children hospitalized for scalds by immersion between 2013 and 2016 and for whom child abuse has been confirmed. Sex, age, burns description, needs of surgery, length of stay at hospital and protection plan set up were collected.
RESULTS
Six cases of burns by immersion due to maltreatment were identified (5 boys, 1 girl) with a median age of 12 months. The average total burn surface area was 19%. Burns were of deep second and third degree and always symmetric. Every child underwent surgery at least once. Concern information was transferred for all of them.
CONCLUSION
Teams taking care of children with burns must be trained to the difficult diagnostic of abuse or neglect so that early social interventions can be set up in case of maltreatment.
研究目的
10%的儿童烧伤可能源于虐待。在描述6例儿童浸泡烫伤的严重病例时，我们展示了我们对虐待的系统诊断方法，并证实了此类烧伤的严重性。
患者与方法
这项回顾性研究涉及2013年至2016年间因浸泡烫伤住院且已确诊遭受虐待的儿童。收集了他们的性别、年龄、烧伤描述、手术需求、住院时间和制定的保护计划。
结果
确定了6例因虐待导致的浸泡烧伤病例（5名男孩，1名女孩），中位年龄为12个月。平均总烧伤面积为19%。烧伤为深二度和三度，且总是对称的。每个孩子至少接受了一次手术。所有病例的相关信息均已移交。
结论
照顾烧伤儿童的团队必须接受培训，以便对虐待或忽视进行困难的诊断，从而在发生虐待时能够尽早进行社会干预。
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