Hobbs C J
Arch Dis Child. 1986 Apr;61(4):357-61. doi: 10.1136/adc.61.4.357.
One hundred and ninety five children aged up to 6 years with burns and scalds (30 non-accidental and 165 accidental) were studied retrospectively. The history, presentation, and other typical injuries assisted the diagnosis of abuse. Scalds accounted for 81% of accidents and 25% of the cases of abuse, and burns for 17% and 44%, respectively. Scalds usually followed spillage from kitchen containers in accidents and forced tap water immersion in cases of abuse. Burns in cases of both accidents and abuse resulted from contact with a wide range of household appliances, including room heaters. Attention is drawn to the back of the hand as an important site in cases of abuse, as well as the legs, buttocks, and feet. It is speculated that the low level of reporting of this form of child abuse reflects failure of diagnosis.
对195名6岁及以下烧伤和烫伤儿童（30名非意外伤和165名意外伤）进行了回顾性研究。病史、临床表现及其他典型损伤有助于虐待的诊断。烫伤在意外伤中占81%，在虐待病例中占25%；烧伤在意外伤和虐待病例中分别占17%和44%。意外伤中的烫伤通常是厨房容器溢出所致，虐待病例中的烫伤则是强迫用自来水浸泡造成。意外伤和虐待病例中的烧伤均由接触包括取暖器在内的多种家用电器引起。手部背部以及腿部、臀部和足部被视为虐待病例中的重要部位。据推测，这种形式的儿童虐待报告率低反映出诊断失误。
