PDF(Pubmed)
Abstract：
Child sexual abuse is a public health problem that affects children worldwide in all ethnic, educational, and socioeconomic groups. These assaults are extremely dangerous not only due to their direct physical traumas received at the time of the abuse, but they also have long-term consequences that can worsen the future quality of the victim\'s life. A retrospective study of all cases related to child sexual abuse for five years was performed by materials of the Clinic of Forensic Medicine and Deontology, Sofia, Bulgaria. Ninety-five cases involve children from both genders. The traumatic injuries were carefully examined and classified according to their localization over the victim\'s bodies and based on the time that had passed after the reported assaults. In cases of sexual violence, the most informative and pointing at the exact type of violence are the injuries situated in the anogenital area. Too often, there is a lack of physical findings, depending on the type of sexual violence or associated with the prolonged time that passes after the crime. Children are unaware of what they have to do after suffering such traumas, or they are scared to share their experience with different family members, which can lead to late forensic examination and lack of physical and biological findings, which are the most critical traces in the criminal prosecution of the crimes and this can be a possibility for the perpetrator not to be charged for his unlawful actions.
摘要：
儿童性虐待是一个公共卫生问题，影响到全世界所有种族的儿童，教育,和社会经济团体。这些攻击是极其危险的，不仅是因为他们在虐待时受到了直接的身体创伤，但他们也有长期的后果，可以恶化未来质量的受害者的生活。通过法医学和Deontology诊所的材料，对与儿童性虐待有关的所有病例进行了五年的回顾性研究，索菲亚,保加利亚。95例涉及男女儿童。外伤经过仔细检查，并根据其在受害者身上的定位以及报告的袭击事件后过去的时间进行分类。在性暴力案件中，最翔实和指出暴力的确切类型是位于肛门生殖器区域的伤害。太频繁了,缺乏物理发现，取决于性暴力的类型或与犯罪后的长时间相关。孩子们不知道他们在遭受这种创伤后必须做什么，或者他们害怕与不同的家庭成员分享他们的经验，这可能导致法医检查较晚，缺乏物理和生物学发现，这是刑事起诉犯罪中最关键的痕迹，这可能是肇事者不被指控其非法行为的可能性。
