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婴幼儿虐待性头部创伤-芬兰单中心经验。

Abusive head trauma in small children - a single-centre experience in Finland.

机构信息

Department of Neurosurgery, Neurocenter, Oulu University Hospital, Oulu, Finland.

Research Unit of Clinical Medicine, Faculty of Medicine, University of Oulu, Oulu, Finland.

出版信息

Childs Nerv Syst. 2022 Dec;38(12):2371-2374. doi: 10.1007/s00381-022-05715-0. Epub 2022 Oct 26.

DOI:10.1007/s00381-022-05715-0
PMID:36287258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9908619/
Abstract

Shaken baby syndrome (SBS) is a challenging condition from both a medical and legal perspective. The path of the patients differs significantly from those with noninflicted traumas. While treating these cases, it is essential that all history, information and treatment are comprehensively documented. This article describes the investigations and interventions necessary as soon as SBS is suspected. The Oulu University Hospital protocol for suspected child abuse is described. Authors also give an overview of the SBS path in Finland from the police and prosecution's point of view.

摘要

摇晃婴儿综合征(SBS)是一种在医学和法律方面都极具挑战性的病症。从患者的角度来看,SBS 与非意外伤害导致的创伤有很大的不同。在治疗这些病例时,务必全面记录所有的病史、信息和治疗过程。本文描述了 SBS 被怀疑后的必要调查和干预措施。文中还介绍了奥卢大学医院疑似虐待儿童的方案,并从警方和检方的角度概述了芬兰 SBS 的发生路径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa3e/9908619/5c74c870be61/381_2022_5715_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa3e/9908619/5c74c870be61/381_2022_5715_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa3e/9908619/5c74c870be61/381_2022_5715_Fig1_HTML.jpg

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本文引用的文献

1
Abusive Head Trauma and a Delay in Presentation for Care.虐待性头部创伤和延迟就诊。
Pediatr Emerg Care. 2022 Jan 1;38(1):e170-e172. doi: 10.1097/PEC.0000000000002197.
2
Injury patterns of child abuse: Experience of two Level 1 pediatric trauma centers.虐待儿童的损伤模式:两家一级儿科创伤中心的经验
J Pediatr Surg. 2018 May;53(5):1028-1032. doi: 10.1016/j.jpedsurg.2018.02.043. Epub 2018 Feb 10.
3
Prior opportunities to identify abuse in children with abusive head trauma.既往识别患有虐待性头部创伤儿童遭受虐待的机会。
Child Abuse Negl. 2016 Oct;60:36-45. doi: 10.1016/j.chiabu.2016.09.001. Epub 2016 Sep 25.
4
Fatal abusive head trauma cases: consequence of medical staff missing milder forms of physical abuse.致命性虐待头部创伤病例:医务人员漏诊较轻形式身体虐待的后果。
Pediatr Emerg Care. 2008 Dec;24(12):816-21. doi: 10.1097/PEC.0b013e31818e9f5d.
5
A population-based comparison of clinical and outcome characteristics of young children with serious inflicted and noninflicted traumatic brain injury.基于人群的重度非故意伤害性和故意伤害性脑外伤幼儿临床及预后特征比较。
Pediatrics. 2004 Sep;114(3):633-9. doi: 10.1542/peds.2003-1020-L.
6
Shaken baby syndrome in Canada: clinical characteristics and outcomes of hospital cases.加拿大的摇晃婴儿综合征:医院病例的临床特征与转归
CMAJ. 2003 Jan 21;168(2):155-9.
7
Analysis of missed cases of abusive head trauma.虐待性头部创伤漏诊病例分析。
JAMA. 1999 Feb 17;281(7):621-6. doi: 10.1001/jama.281.7.621.
8
Head injury in very young children: mechanisms, injury types, and ophthalmologic findings in 100 hospitalized patients younger than 2 years of age.低龄儿童头部损伤:100例2岁以下住院患儿的损伤机制、损伤类型及眼科检查结果
Pediatrics. 1992 Aug;90(2 Pt 1):179-85.