Diagnostische Kriterien der Hautverletzungen bei Kindesmisshandlung

详细信息    查看全文

• 作者：M. Tsokos (1) (2)
  S.S. Etzold (1) (2)
  
  1. Institut f眉r Rechtsmedizin Berlin ; Charit茅 鈥?Universit盲tsmedizin Berlin ; Turmstra脽e 21 (Haus N) ; 10559 ; Berlin ; Deutschland
  2. Gewaltschutzambulanz/Rechtsmedizinische Untersuchungsstelle f眉r Berlin ; Charit茅 鈥?Universit盲tsmedizin Berlin ; Berlin ; Deutschland
  
• 关键词：Kindesmisshandlung ; Hautverletzung ; Formung ; Petechien ; Thermische Verletzung ; Child abuse ; Skin injury ; Bruise ; Petechiae ; Burns
• 刊名：Notfall & Rettungsmedizin
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：18
• 期：1
• 页码：8-16
• 全文大小：1,185 KB
• 参考文献：1. Beckmann K (2014) Kinderschutz in 枚ffentlicher Verantwortung. Eine Verlaufsstudie von 346 Werdeg盲ngen im Kontext kommunaler Sozial- und Haushaltspolitik. Wochenschau Verlag, Schwalbach
  2. Ells盲脽er G (2012) Unf盲lle, Gewalt, Selbstverletzung bei Kindern und Jugendlichen 2012. Ergebnisse der amtlichen Statistik zum Verletzungsgeschehen 2010. In: Statistisches Bundesamt (Hrsg) Fachbericht 2012. Wiesbaden
  3. Etzold SS, Tsokos M (2014) Parallel verlaufende Striemen am R眉cken eines 14-j盲hrigen Jungen: Differentialdiagnosen. In: Riepert T (Hrsg) Klinische Rechtsmedizin, Schmidt-R枚mhild, L眉beck, S聽177鈥?81
  4. Hennig C, Tsokos M (2007) Retrospektive Analyse von 5108 p盲diatrischen Krankenakten unter traumatologischen und rechtsmedizinischen Aspekten. Arch Kriminol 220:129鈥?40
  5. Rieser S (2014) Kindliche Gewaltopfer. Statistik l盲sst keine Entwarnung zu. Dtsch Arztebl 111(26):A-1183/B-1023/C-967
  6. Ri脽e M, Rummel J, Tsokos M et al (2010) Verhungern und Verdursten. Rechtsmedizin 20:211鈥?18 CrossRef
  7. Sperhake J (2010) Diagnostik und Management der Kindesmisshandlung. Kinder- und Jugendarzt 41:783鈥?91
  8. Sperhake J, Gehl A (2001) Cao Gio 鈥?Kindesmisshandlung? Rechtsmedizin 11:101鈥?03 CrossRef
  9. Tsokos M, Etzold SS (2014) Das institutionelle Versagen des Kinderschutzes in Deutschland. Beispiele von 眉berlebten und t枚dlichen Kindesmisshandlungen aus der rechtsmedizinischen Praxis. Trauma 鈥?Zeitschrift f眉r Psychotraumatologie und ihre Anwendungen 12:12鈥?4
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Emergency Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1436-0578

文摘

Background Inflicted injuries in infants can take many forms. Depending on the type of force applied, to some degree specific injury patterns concerning their morphology and location can be found on the body surface of the affected children. These injuries may then be of diagnostic importance concerning the diagnosis of child abuse under forensic aspects. Results and discussion Typical findings are tramtrack bruises due to blows with objects that have tubular structures. Besides round to horseshoe-shaped bite marks, injuries of different age, numerous injuries in the same region of the body as well as thermal damage are typical injuries caused by abuse of children. Abusive scalds usually have a uniform distribution pattern, are frequently symmetrical with clear margins and have a sharp line of demarcation between scald and unaffected skin in contrast to accidental scalds with their directional tracks. Petechial bleedings are a diagnostic hallmark of asphyxia and may prove a preceding life-threatening strangulation. Defence wounds are typically found on the ulnar aspect of the forearms and the back of the hands. The colour of a haematoma may enable the injury to be dated. The lack of a conclusive and comprehensive explanation for an accidental origin of injuries is always suspicious for child abuse. A delayed consultation of a physician or a long elapse of time until an emergency call was made in the light of serious injuries of a child are highly suspicious, too. This is also true for changing versions by the caregivers of how an accident took place. Finally, careful documentation of all findings is essential for the later scrutiny of the diagnosis under aspects of new circumstances and results of police investigations for later court proceedings.