Abstract：
Evidence describing age-related differences among children with suspected physical and sexual child abuse is lacking. We describe findings in severe cases of suspected abuse. Cases with 756 children <15 years old were included during 2001-2013 at the Department of Forensic Medicine, Aarhus University, using forensic evaluation documents, medical records, and court proceedings. Eight percent of children <4 years old died from child abuse, 36% through violence resulting in death, and 64% by manslaughter, whereas 1% > 4 years old died, solely by manslaughter. External injuries were mainly located to head and torso in children <4 years old, changing to the upper and lower extremities in older children. Child sexual abuse was suspected in 52% of cases with living children <4 years old, 83% of children 4-7 years of age, 88% of children 8-11 years of age, and 93% of children >12 years old. Anogenital findings were mainly caused by other medical conditions in children <4 years old, hymenal clefts in the superior half of the hymenal rim were almost exclusively found in children between 8 and 11 years of age, whereas both superficial and complete hymenal clefts in the inferior half of the hymenal rim were found in children >12 years old. The present study describes age-related differences in victims of suspected child abuse. Fatal versus nonfatal child physical abuse and the significance of hymenal findings in child sexual abuse could be studied further.
摘要：
缺乏描述涉嫌身体和性虐待儿童的儿童之间与年龄相关差异的证据。我们描述了在严重的可疑滥用案件中的发现。2001-2013年期间，法医学部门纳入了756例15岁以下儿童的病例，奥胡斯大学,使用法医评估文件，医疗记录,和法庭诉讼。百分之八的4岁以下的儿童死于虐待儿童，36%的人通过暴力导致死亡，64%的人是过失杀人,而1%>4岁死亡，完全是过失杀人。外部损伤主要发生在<4岁的儿童的头部和躯干，更改为年龄较大的儿童的上肢和下肢。52%的活儿年龄小于4岁的个案怀疑儿童性虐待,83%的4-7岁儿童，88%的8-11岁儿童，93％的儿童>12岁。肛门生殖器的发现主要是由4岁以下儿童的其他医疗条件引起的，处女膜边缘上半部分的处女膜裂几乎只见于8至11岁的儿童，而在12岁以上的儿童中，处女膜边缘的下半部发现了浅表和完全的处女膜裂隙。本研究描述了涉嫌虐待儿童的受害者与年龄相关的差异。可以进一步研究致命和非致命的儿童身体虐待以及处女膜发现在儿童性虐待中的重要性。
