Department of Pediatrics, University of California, San Diego, San Diego, California.
Clin Obstet Gynecol. 2020 Sep;63(3):486-490. doi: 10.1097/GRF.0000000000000539.
The medical evaluation of a child who may have been sexually abused can be a challenge for physicians who are unfamiliar with the wide variation in normal genital anatomy in prepubertal girls. Signs of injury are rarely found, unless the child is examined within 72 hours of the event. This article will provide some history about how guidelines for medical care of these children have been developed, and list some of the findings that are normal or normal variants, caused by other conditions, or due to trauma or infection.
对于不熟悉幼女正常外阴解剖差异的医生来说，对可能遭受性虐待的儿童进行医学评估可能是一项挑战。除非在事件发生后 72 小时内进行检查，否则很少能发现损伤迹象。本文将提供一些关于这些儿童医疗护理指南是如何制定的历史背景，并列出一些正常或正常变异的发现，这些发现是由其他情况、创伤或感染引起的。
