虐待儿童。256例手术治疗的最新情况。
Child abuse. An update on surgical management in 256 cases.
作者信息
Caniano D A, Beaver B L, Boles E T
出版信息
Ann Surg. 1986 Feb;203(2):219-24. doi: 10.1097/00000658-198602000-00017.
In the period January 1982-July 1984, 1512 cases of suspected child abuse were evaluated in the emergency department of a major children's hospital, of which 256 (17%) required hospitalization. Failure-to-thrive with caloric malnutrition was present in 66 (26%), burns in 56 (22%), central nervous system injury in 53 (22%), soft tissue trauma in 21 (8%), ingestions in 20 (8%), skeletal injury in 15 (6%), neglect of an underlying disease in 10 (4%), sexual abuse in nine (3%), near-drowning in four (1%), and abdominal trauma in two (1%). Two-thirds of the children required surgical care and one-third of the surgical group needed operations. The majority of the patients were toddlers between 18 and 36 months of age. A long hospitalization occurred with a mean stay of 9.3 days. Mortality was 7% for the entire group, but children with central nervous system injury had a much higher mortality (26%) and morbidity (21%).
在1982年1月至1984年7月期间，一家大型儿童医院的急诊科对1512例疑似虐待儿童的病例进行了评估，其中256例（17%）需要住院治疗。伴有热量营养不良的发育迟缓患儿有66例（26%），烧伤患儿56例（22%），中枢神经系统损伤患儿53例（22%），软组织创伤患儿21例（8%），摄入异物患儿20例（8%），骨骼损伤患儿15例（6%），基础疾病被忽视患儿10例（4%），性虐待患儿9例（3%），近乎溺水患儿4例（1%），腹部创伤患儿2例（1%）。三分之二的患儿需要手术治疗，手术组中有三分之一的患儿需要进行手术。大多数患者是18至36个月大的幼儿。住院时间较长，平均住院天数为9.3天。整个组的死亡率为7%，但中枢神经系统损伤的患儿死亡率（26%）和发病率（21%）要高得多。
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