Abstract：
Child physical abuse is a common cause of pediatric morbidity and mortality. Up to half of all children presenting with abusive injuries have a history of a prior suspicious injury, suggesting a pattern of repeated physical abuse. Medical providers are responsible for identifying children with suspicious injuries, completing mandated reporting to child protective services for investigation, and screening for occult injuries and underlying medical conditions that can predispose to injuries. Early identification of inflicted injuries appropriate evaluations may serve as an opportunity for life-saving intervention and prevent further escalation of abuse. However, identification of abuse can be challenging. This article will review both physical exam findings and injuries that suggest abuse as well as the evaluation and management of physical abuse.
摘要：
儿童身体虐待是儿科发病和死亡的常见原因。所有遭受虐待伤害的儿童中，多达一半的人有可疑伤害的病史，暗示了重复身体虐待的模式。医疗服务提供者负责识别有可疑伤害的儿童，完成向儿童保护服务机构提交调查的法定报告，以及筛查隐匿性伤害和可能导致伤害的潜在医疗条件。早期识别所造成的伤害，适当的评估可以作为挽救生命的干预措施的机会，并防止虐待的进一步升级。然而,识别滥用可能具有挑战性。本文将回顾体格检查结果和暗示虐待的伤害以及身体虐待的评估和管理。
