最近审阅: 29 十月 2020
最近更新: 08 五月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 披露不适当的接触
  • 急性生殖器创伤(变化);处女膜横断或缺失(儿童)
  • HIV 感染

其他诊断因素

  • 生殖器检查的结果一般是正常的
  • 抑郁症
  • 肛门及生殖器病变
  • 阴唇与会阴损伤
  • 非生殖器损伤
  • 阴道或阴茎溢液
  • 自毁行为
  • 儿童带有性意味的行为
  • 儿童慢性医学疾病
  • 频繁发生或顽固性泌尿生殖系统疾病
  • 处女膜凹痕

危险因素

  • 家里的其他孩子被性虐待
  • 青少年和年轻女性
  • 残疾
  • 贫困和无家可归人群
  • 性工作者
  • 居住于社会收容机构或者冲突地区的人群
  • 服用酒精或者其它药物的人群
  • 缺乏社区服务

诊断性检查

首要检查

  • 法医学标本
  • 淋病奈瑟菌培养
  • 沙眼衣原体培养
  • 沙眼衣原体和淋病奈瑟菌核酸扩增检测
  • 梅毒血清检测
  • HIV 血清学
  • 尿 β-人绒毛膜促性腺激素
  • 阴道滴虫检测
  • 肛门生殖器样本培养:单纯疱疹病毒聚合酶链反应(Polymerase chain reaction, PCR)
  • 肝功能检测 (LFT)
  • 肌酐
  • 尿素
  • 全血细胞计数(FBC)
更多 首要检查

需考虑的检查

  • 艾滋病确诊检测
  • 艾滋病病毒核酸扩增检测
  • 梅毒螺旋体血凝集试验用于检验梅毒
  • 血清梅毒快速血浆反应素检测
更多 需考虑的检查

治疗流程

撰稿人

Associate Professor

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益声明

SL declares that she has no competing interests.

Professor

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益声明

RG declares that she has no competing interests.

Child Abuse Pediatrics Fellow

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益声明

SG declares that she has no competing interests.

Child Abuse Pediatrics Fellow

Department of Pediatrics

Division of Child Protection Pediatrics

University of Texas Medical School at Houston

Houston

TX

利益声明

MR declares that she has no competing interests.

Professor

Department of Pediatrics

Division of Community and General Medicine

University of Texas Medical School at Houston

Houston

TX

利益声明

MM declares that she has no competing interests.

Dr Sheela Lahoti, Dr Rebecca Girardet, Dr Shaina Groisberg, Dr Michelle Ruda, and Dr Margaret McNeese would like to gratefully acknowledge Dr Zoe O'Connor, paediatric resident from Niklaus Children’s Hospital in Miami, Florida, for her contribution to this topic, and Dr Christopher Greeley and Dr Jan Welch, previous contributors to this topic. CG and JW declare that they have no competing interests.

同行评议者展开全部内容

Professor of Pediatrics

Child Abuse Division

Department of Pediatrics

University of Texas Health Science Center

San Antonio

TX

利益声明

JL declares that he has no competing interests.

Medical Director

CHKD-CAP

Professor of Pediatrics

Eastern Virginia Medical School

Norfolk

VA

利益声明

SS is an author of a reference cited in this topic. SS declares that she has no other competing interests.

Clinical Associate Professor

Pediatrics

Baylor College of Medicine

Medical Director

Texas Children's Health Plan

Houston

TX

利益声明

APG declares that he has no competing interests.

Professor of Clinical Epidemiology

UCL-Institute of Child Health

London

UK

利益声明

RG declares that she has no competing interests.

内容使用需遵循免责声明