Tilelli J A, Turek D, Jaffe A C
N Engl J Med. 1980 Feb 7;302(6):319-23. doi: 10.1056/NEJM198002073020604.
To increase understanding of childhood sexual abuse, we reviewed the hospital records of 113 girls and 17 boys who were the victims of sexual offenses. They were two to 16 years of age and seen in an 18-month period. Thirty had had medical or social problems. Four had previously been raped. Children under eight years old were more likely to know the assailant, to be victims of recurrent sexual or physical abuse, to report crimes without intercourse, and to present with an abused sibling (P less than 0.05). Incest victims were younger than other victims (P less than 0.05). Forty-three children had physical trauma. No pregnancies occurred, although diethylstilbestrol was not routinely used. Three girls had gonorrhea. Seventy-two patients were referred to hospital social services, and 41 to 17 other agencies. Victims and their siblings are at high risk of repeated abuse. Antibiotics and diethylstilbestrol are not routinely indicated. Follow-up may be best achieved by a central agency.
为了增进对儿童性虐待的了解，我们查阅了113名女孩和17名男孩遭受性侵犯的医院记录。他们年龄在2至16岁之间，在18个月的时间段内就诊。30人有医疗或社会问题。4人曾遭强奸。8岁以下儿童更有可能认识袭击者，成为反复性虐待或身体虐待的受害者，报告未涉及性交的犯罪行为，并伴有受虐的兄弟姐妹（P<0.05）。乱伦受害者比其他受害者年龄更小（P<0.05）。43名儿童有身体创伤。尽管未常规使用己烯雌酚，但未发生怀孕情况。3名女孩患有淋病。72名患者被转介至医院社会服务部门，41名被转介至其他17个机构。受害者及其兄弟姐妹面临再次受虐的高风险。抗生素和己烯雌酚并非常规所需。由中央机构进行随访可能效果最佳。
