BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 病史矛盾/改写病史
  • 不明原因/不一致损伤，孤立损伤或者联合损伤
  • 青肿
全部具体信息

其他诊断因素

  • 亲子关系较差
  • 生长发育受限
  • 牙齿忽视
  • 瘀点伴青肿
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危险因素

  • 家庭暴力
  • 父母/看护者药物滥用/精神健康疾病
  • 婴儿过度哭闹和/或频繁发脾气
  • 父母/看护者不成熟/应对技能较差
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诊断性检查

首要检查

  • 全血细胞计数 (FBC）
  • 凝血功能/凝血试验
  • 扩张眼底镜检查
  • 损伤的照片记录
全部具体信息

需要考虑的检查

  • 放射性核素骨扫描
  • 脑部/脊柱 MRI
  • 腹部超声检查
  • 腹部 CT
全部具体信息

治疗流程

急性

儿童虐待的合理怀疑或高可能性

贡献者

作者 查看所有

Commander

Medical Corps

United States Navy

Director, Education and Training

Armed Forces Center for Child Protection

Walter Reed National Military Medical Center

Bethesda

MD

利益冲突披露
ARG declares that she has no competing interests. The view(s) expressed herein are those of the author and do not reflect the official policy or position of Walter Reed National Military Medical Center, the US Navy Bureau of Medicine, the US Navy Office of the Surgeon General, the Department of the Navy, Department of Defense, or the US Government.

Dr Amy R. Gavril would like to gratefully acknowledge Dr James L. Lukefahr, a previous contributor to this monograph, and the assistance of Dr Alison Kemp, Dr Sabine Maguire, and Kim Rolfe (Research Officer). JLL and KR each declare that they have no competing interests. AK and SM are the authors of a number of references cited in this monograph.

同行评议专家 查看所有

Clinical Professor

Department of Pediatrics

University of Washington School of Medicine

Seattle

WA

利益冲突披露
NS is an author of a number of references cited in this monograph.

Clinical Associate Professor

Department of Pediatrics

Center for Child and Family Advocacy

Columbus Children's Hospital

Columbus

OH

利益冲突披露
JT is an author of a reference cited in this monograph.

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