How useful is the presence of petechiae in distinguishing non-accidental from accidental injury?

被引:13
|
作者
Nayak, K
Spencer, N [1 ]
Shenoy, M
Rubithon, J
Coad, N
Logan, S
机构
[1] Univ Warwick, Sch Hlth & Social Studies, Coventry CV4 7AL, W Midlands, England
[2] Univ Warwick, Warwick Med Sch, Coventry CV4 7AL, W Midlands, England
[3] Gulson Hosp, Coventry Primary Care NHS Trust, Coventry, W Midlands, England
[4] Peninsula Med Sch, Plymouth, Devon, England
[5] Univ Hosp Coventry, Coventry, W Midlands, England
[6] Univ Hosp Warwickshire, Coventry, W Midlands, England
关键词
non-accidental injury; petechiae; clinical decision-making;
D O I
10.1016/j.chiabu.2005.09.005
中图分类号
D669 [社会生活与社会问题]; C913 [社会生活与社会问题];
学科分类号
1204 ;
摘要
The presence of petechiae in a child with an unexplained injury should raise the practitioner's concern about possible non-accidental injury and prompt further inquiry. Absence of petechiae is not helpful in excluding non-accidental injury. In non-accidental injury, petechiae are most likely to be found on the head and neck, and usually in association with other bruises. Among the 28 cases in which petechiae were associated with non-accidental injury in our study, patterning of petechiae was noted in a quarter. Patterning was not noted in accidental injury cases with petechiae but the numbers were too small for firm practice conclusions to be drawn.
引用
收藏
页码:549 / +
页数:8
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