MEDICAL DIAGNOSIS OF THE SEXUALLY ABUSED-CHILD
MEDICAL DIAGNOSIS OF THE SEXUALLY ABUSED-CHILD
复制标题
DOI：
10.1016/0145-2134(93)90011-s
复制
发表时间：
1993-01-01
影响因子：
4.8
通讯作者：
CHADWICK, D
中科院分区：
文献类型：
--
作者：
BAYS, J;CHADWICK, D
这篇文章回顾了过去二十年来关于儿童性虐待的医学诊断所了解到的情况。研究表明，对性虐待受害者进行正常的身体检查是很常见的，虐待造成的伤害很快愈合，有时完全愈合，因虐待而就诊的少数受害者是男孩，性传播疾病的非性传播很罕见，先天性和后天疾病可能与性虐待造成的身体检查结果相似。本文综述了未受虐待儿童、受虐待儿童和独立确认受虐待儿童的临床研究结果。根据确定发生过性虐待的连续性，提出了身体检查结果的分类。孩子的病史对大多数性虐待案件的准确诊断至关重要。
This article reviews what has been learned in the last two decades about the medical diagnosis of child sexual abuse. Studies indicate that a normal physical exam is common in sexual abuse victims, that healing of injuries due to abuse is rapid and sometimes complete, that a minority of victims seen for abuse are boys, that nonsexual transmission of sexually transmitted diseases is rare, and that congenital and acquired conditions may mimic physical findings caused by sexual abuse. The article summarizes clinical research on physical findings in nonabused children, abused children, and abused children with independent confirmation of abuse. A classification of physical findings is proposed along a continuum of certainty that sexual abuse has occurred. The child's history is essential in the accurate diagnosis of most cases of sexual abuse.