被虐待児症候群とその背景に関する1考察

概要

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We encountered four cases of battered child syndrome (B.C.S.) with substantial background problems. The first case was a girl with facial burns resulting from violence from her father who himself had a history of being a victim of B.C.S. in his youth. The second case was a girl who had been repeatedly hit on her entire body by an alcoholic father. She had a congenital anomaly (rectocloal deforming). Her parents refused the necessary colostomy required to save her life in the beginning. The operation was eventually accepted but during successive follow up examinations after the operations many signs of B.C.S. were found on her body. The third case had a traumatic pancreatic pseudocyst after receiving a blow from her mother. The child, a boy, was a stepson of mother who also had a natural son of the same age. The fourth case was a rupture of the jejunum due to blows by the mother who had given responsibility for nursing the child. It should be considered that improvement of the patient's background factors through social services as well as the treatment of physical and/or psychological injury is necessary for the cure of the patients with B.C.S.
日本小児外科学会の論文
1986-12-20