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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >The eye examination in the evaluation of child abuse.
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The eye examination in the evaluation of child abuse.

机译：眼科检查在评估虐待儿童方面。

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摘要

Retinal hemorrhage is an important indicator of possible abusive head trauma, but it is also found in a number of other conditions. Distinguishing the type, number, and pattern of retinal hemorrhages may be helpful in establishing a differential diagnosis. Identification of ocular abnormalities requires a full retinal examination by an ophthalmologist using indirect ophthalmoscopy through a pupil that has been pharmacologically dilated. At autopsy, removal of the eyes and orbital tissues may also reveal abnormalities not discovered before death. In previously well young children who experience unexpected apparent life-threatening events with no obvious cause, children with head trauma that results in significant intracranial hemorrhage and brain injury, victims of abusive head trauma, and children with unexplained death, premortem clinical eye examination and postmortem examination of the eyes and orbits may be helpful in detecting abnormalities that can help establish the underlying etiology.
机译：视网膜出血是可能的虐待性头部创伤的重要指标，但在许多其他情况下也可以发现。区分视网膜出血的类型，数量和类型可能有助于建立鉴别诊断。眼部异常的鉴定需要由眼科医生对经过药理学扩张的瞳孔使用间接检眼镜进行全面的视网膜检查。尸检时，摘除眼睛和眼眶组织也可能会发现死亡前未发现的异常。在先前经历过意外，没有明显原因的明显威胁生命的事件，没有明显原因的幼儿中，患有头部外伤的儿童会导致严重的颅内出血和脑损伤，滥用头部外伤的患者以及无法解释的死亡，临死前临床眼科检查和验尸检查眼睛和眼眶可能有助于发现异常情况，从而有助于确定潜在的病因。

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