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受虐儿童在急诊科的就诊模式。

Patterns of presentation of abused children to the accident and emergency department.

作者信息

Olney D B

机构信息

Accident and Emergency Department, St James's University Hospital, Leeds, England.

出版信息

Arch Emerg Med. 1988 Dec;5(4):228-32. doi: 10.1136/emj.5.4.228.

DOI:10.1136/emj.5.4.228
PMID:3233137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285539/
Abstract

A search of accident and emergency department records showed that 61% of 85 children registered as being physically or sexually abused by the Department of Community Paediatrics at St James's University Hospital, Leeds, England, were found to have visited the accident and emergency department an average of 2.9 times before the diagnosis was made. Fifty-two per cent of the attendances were because of problems other than injuries. Staff of accident and emergency departments should be aware that abused children present with medical diagnoses as well as trauma. Increased awareness may result in earlier diagnosis of abuse in some of these children.

摘要

对急诊部门记录的检索显示,在英国利兹市圣詹姆斯大学医院社区儿科部门登记为遭受身体虐待或性虐待的85名儿童中,有61%在确诊前平均去过急诊部门2.9次。其中52%的就诊是由于受伤以外的问题。急诊部门的工作人员应意识到,受虐儿童不仅会出现外伤,还会有其他医疗诊断。提高认识可能会使其中一些儿童的虐待行为更早被诊断出来。

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本文引用的文献

1
Child abuse: early case finding in the emergency department.儿童虐待:急诊科中的早期病例发现
Pediatrics. 1968 Jul;42(1):128-38.
2
Child abuse diagnosis and the emergency department chart.
Pediatr Emerg Care. 1986 Mar;2(1):6-9. doi: 10.1097/00006565-198603000-00002.
3
Patterns of fractures in accidental and non-accidental injury in children: a comparative study.儿童意外和非意外伤害中的骨折模式:一项比较研究。
Br Med J (Clin Res Ed). 1986 Jul 12;293(6539):100-2. doi: 10.1136/bmj.293.6539.100.
4
Child sexual abuse--an increasing rate of diagnosis.儿童性虐待——诊断率不断上升。
Lancet. 1987 Oct 10;2(8563):837-41. doi: 10.1016/s0140-6736(87)91025-7.