Sexual abuse in children.
Sexual abuse in children.
复制标题
儿童性虐待。
DOI：
10.1542/pir.27-1-17
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发表时间：
2006
影响因子：
1.3
通讯作者：
C. F. Johnson
中科院分区：
文献类型：
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作者：
C. F. Johnson
1. Charles Felzen约翰逊，医学博士 *
1. * 俄亥俄州州立大学医学与公共卫生学院儿科学教授，俄亥俄州哥伦布市儿童医院儿童和家庭倡导项目
读完这篇文章后，读者应该能够：
1.列出三个原因，为什么孩子可能不会透露性虐待。
2.熟悉青春期前和青春期女性的正常处女膜。
3.处女膜边缘有撕裂伤。
4.描述性虐待的直接和长期不良行为后果和身体后果。
5.讨论为什么性虐待后生殖器检查的结果可能是正常的。
6.认识到在性虐待中进行适当的法医面谈的重要性。
来自编辑：这对性虐待的全面审查提供了对管理各个方面的见解。一些普通儿科医生比其他人更有能力处理性虐待，这取决于培训，经验和社区资源的可用性。认识到多学科团队方法的价值，每个儿科医生必须决定他或她的角色应该是什么，以及在什么时候需要转诊。LFN
玛丽，一个正常健康的5岁女孩，是一个刚刚离婚的家庭的独生女。母亲有玛丽的监护权，父亲周末可以探视。父亲再婚，妻子有两个孩子。玛丽一直反对周末去看她父亲。据母亲说，她“经常”手淫，母亲因此孤立了玛丽。玛丽抱怨她小便时有烧灼感。母亲注意到玛丽的生殖器区域是红色的。她的结论是这是由于手淫。玛丽已经开始吮吸她的拇指。幼儿园老师打电话给母亲报告说，玛丽邀请男孩触摸她的生殖器。玛丽也拒绝做她的功课。当她母亲质问她时，玛丽回答说她的继兄摸了她的私处，并告诉她不要告诉任何人，否则他会有麻烦。母亲来到你的...
1. Charles Felzen Johnson, MD*
1. *Professor of Pediatrics, The Ohio State University School of Medicine and Public Health, Child and Family Advocacy Program, Children’s Hospital, Columbus, Ohio
After completing this article, readers should be able to:
1. List three reasons why children may not reveal sexual abuse.
2. Be familiar with a normal hymen in a preadolescent and adolescent female.
3. Recognize a laceration of the hymen rim.
4. Describe the immediate and long-term adverse behavioral consequences and the physical consequences of sexual abuse.
5. Discuss why results of the genital examination may be normal after sexual abuse.
6. Appreciate the importance of a properly conducted forensic interview in sexual abuse.
From the Editor : This comprehensive review of sexual abuse offers insights into every aspect of management. Some general pediatricians are better equipped than others to deal with sexual abuse, depending on training, experience, and the availability of community resources. Recognizing the value of a multidisciplinary team approach, each pediatrician must decide what his or her role should be and at what point a referral is necessary.—LFN
Mary, a normal and healthy 5-year-old, is the only child in a recently divorced family. The mother has custody of Mary, and the father has weekend visitation. The father is remarried to a woman who has two children. Mary has been objecting to her weekend visits with her father. She is masturbating “frequently” according to the mother, who isolates Mary for this behavior. Mary has complained about burning when she urinates. The mother has noted that Mary’s genital area is red. She concluded that this was due to the masturbation. Mary has begun to suck her thumb. The preschool teacher called the mother to report that Mary was inviting boys to touch her genitalia. Mary also is refusing to do her school work. When her mother questioned her, Mary replied that her stepbrother had touched her privates and told her not to tell anyone or he would be in trouble. The mother comes to your …