Lenoski E F, Hunter K A
J Trauma. 1977 Nov;17(11):842-6. doi: 10.1097/00005373-197711000-00004.
By retrospective review of 1,061 charts and prospective analysis of all accidental injuries seen in a Pediatric Emergency Room over a 5-year period, criteria were developed to identify the source of an injury as either specific or nonspecific, i.e., whether a unique causative mechanism was clear or not from the clinical or radiologic signs. These criteria were then used to diagnose 712 cases of child abuse, of which 43 were burns. There were four specific burn patterns. Readily evident were contacts with hot objects; the other were caused by various applications of hot liquids. In these latter cases, the position of the body at the time of burning could be precisely detected by analysis of the depth, configuration, distribution of the burns, and the reciprocal relation to flexion creases and joints of the spared areas. This information is a powerful tool for assessing the veracity of the history presented by the child's caretaker when considering a diagnosis of child battery.
通过回顾1061份病历并对儿科急诊室5年内所有意外伤害进行前瞻性分析，制定了将损伤来源确定为特定或非特定的标准，即从临床或放射学征象中是否能明确独特的致病机制。然后使用这些标准诊断了712例虐待儿童病例，其中43例为烧伤。有四种特定的烧伤模式。与热物体接触的情况很明显；其他则由各种热液应用导致。在这些后一种情况下，通过分析烧伤的深度、形态、分布以及与未烧伤部位的褶皱和关节的相互关系，可以精确检测出烧伤时身体的位置。在考虑诊断儿童虐待时，这些信息是评估儿童看护人所提供病史真实性的有力工具。
