Krugman R D
Pediatrician. 1983;12(1):68-72.
Analysis of 24 cases of fatal child abuse reveals that multi-disciplinary review can assist in the determination of whether fatal injury was accidental or non-accidental. All cases had both a 'discrepant history' and some 'delay' in seeking care. The predisposing child factor was inconsolable crying in infants under 12 months, and was associated with a bowel or bladder accident or diaper change in 9 of 12 cases where children were over 1 year of age. Head injury accounted for 17 of the 24 deaths.
对24例虐待儿童致死案例的分析表明，多学科评估有助于确定致命伤是意外还是非意外造成的。所有案例都存在“病史矛盾”以及就医“延误”的情况。诱发儿童受虐的因素是12个月以下婴儿难以安抚的哭闹，在12例1岁以上儿童受虐案例中，有9例与大小便失禁或换尿布有关。24例死亡案例中有17例是头部受伤所致。
