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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張晉誠 | zh_TW |
| dc.contributor.advisor | Chin-Chen Chang | en |
| dc.contributor.author | 高子茜 | zh_TW |
| dc.contributor.author | Tzu-Chien Kao | en |
| dc.date.accessioned | 2026-08-27T16:05:28Z | - |
| dc.date.available | 2026-08-28 | - |
| dc.date.copyright | 2026-08-27 | - |
| dc.date.issued | 2026 | - |
| dc.date.submitted | 2026-06-17 00:00:00 | - |
| dc.identifier.citation | 1.https://cpr.heart.org/en/resources/cpr-facts-and-stats
Accessed date：2025/07/10 2.https://www.resuscitationjournal.com/article/S0300-9572(25)00283-7/fulltext Accessed date：2026/04/21 3.https://cpr.heart.org/-/media/CPR-Files/2025-documents-for-cpr-heart-edits-posting/Resuscitation-Science/JN1568_ZHTW_Hghlghts_2025ECCGuidelinesFinal_251021.pdf?sc_lang=en 4.David, S., Teodorescu, C., Teodorescu, L., Dospinescu, R., Knieling, A., & Bulgaru-Iliescu, D. (2017). FORENSIC SIGNIFICANCE OF LESIONS INDUCED BY CARDIOPULMONARY RESUSCITATION. Romanian Journal of Functional & Clinical, Macro & Microscopical Anatomy & of Anthropology/Revista Româna de Anatomie Functionala si Clinica, Macro si Microscopica si de Antropologie, 16(1). 5.Hamanaka, K., Nishiyama, K., Nakamura, M., Takaso, M., & Hitosugi, M. (2020). Both Autopsy and Computed Tomography Are Necessary for Accurately Detecting Rib Fractures Due to Cardiopulmonary Resuscitation. Diagnostics (Basel), 10(9). https://doi.org/10.3390/diagnostics10090697 6.Beydilli, H., Balci, Y., Isik, S., Erbas, M., Acar, E., & Savran, B. (2015). Resuscitation complications encountered in forensic autopsy cases performed in Mugla province. Ulus Travma Acil Cerrahi Derg, 21(6), 463–468. https://doi.org/10.5505/tjtes.2015.66169 7.Hokenek, N. M., & Erdogan, M. O. (2021). Effect of Differences in Thorax Volume and Dimensions on CPR-related Injuries. J Coll Physicians Surg Pak, 31(3), 267–272. https://doi.org/10.29271/jcpsp.2021.03.267 8.Yamaguchi, R., Makino, Y., Chiba, F., Torimitsu, S., Yajima, D., Inokuchi, G., Motomura, A., Hashimoto, M., Hoshioka, Y., Shinozaki, T., & Iwase, H. (2017). Frequency and influencing factors of cardiopulmonary resuscitation-related injuries during implementation of the American Heart Association 2010 Guidelines: a retrospective study based on autopsy and postmortem computed tomography. Int J Legal Med, 131(6), 1655–1663. https://doi.org/10.1007/s00414-017-1673-8 9.Koga, Y., Fujita, M., Yagi, T., Nakahara, T., Miyauchi, T., Kaneda, K., Kawamura, Y., Oda, Y., & Tsuruta, R. (2015). Effects of mechanical chest compression device with a load-distributing band on post-resuscitation injuries identified by post-mortem computed tomography. Resuscitation, 96, 226–231. https://doi.org/10.1016/j.resuscitation.2015.08.013 10.Kashiwagi, Y., Sasakawa, T., Tampo, A., Kawata, D., Nishiura, T., Kokita, N., Iwasaki, H., & Fujita, S. (2015). Computed tomography findings of complications resulting from cardiopulmonary resuscitation. Resuscitation, 88, 86–91. https://doi.org/10.1016/j.resuscitation.2014.12.022 11.Ebert, L. C., Franckenberg, S., Sieberth, T., Schweitzer, W., Thali, M., Ford, J., & Decker, S. (2021). A review of visualization techniques of post-mortem computed tomography data for forensic death investigations. Int J Legal Med, 135(5), 1855–1867. https://doi.org/10.1007/s00414-021-02581-4 12.Moskala, A., Wozniak, K., Kluza, P., Romaszko, K., & Lopatin, O. (2016). The importance of post-mortem computed tomography (PMCT) in confrontation with conventional forensic autopsy of victims of motorcycle accidents. Leg Med (Tokyo), 18, 25–30. https://doi.org/10.1016/j.legalmed.2015.11.005 13.Scholing, M., Saltzherr, T. P., Fung Kon Jin, P. H., Ponsen, K. J., Reitsma, J. B., Lameris, J. S., & Goslings, J. C. (2009). The value of postmortem computed tomography as an alternative for autopsy in trauma victims: a systematic review. Eur Radiol, 19(10), 2333–2341. https://doi.org/10.1007/s00330-009-1440-4 14.Uthandi, D., Sabarudin, A., Mohd, Z., Rahman, M. A. A., & Karim, M. K. A. (2020). Effectiveness of Post-Mortem Computed Tomography (PMCT) in Comparison with Conventional Autopsy: A Systematic Review. Curr Med Imaging, 16(6), 669–676. https://doi.org/10.2174/1573405615666190821115426 15.Yang, K. M., Lynch, M., & O'Donnell, C. (2011). "Buckle" rib fracture: an artifact following cardio-pulmonary resuscitation detected on postmortem CT. Leg Med (Tokyo), 13(5), 233–239. https://doi.org/10.1016/j.legalmed.2011.05.004 16.Jang, S. J., Cha, Y. K., Kim, J. S., Do, H. H., Bak, S. H., & Kwack, W. G. (2020). Computed tomographic findings of chest injuries following cardiopulmonary resuscitation: More complications for prolonged chest compressions? Medicine (Baltimore), 99(33), e21685. https://doi.org/10.1097/MD.0000000000021685 17.Erdogan, M. O., Hokenek, N. M., Sogut, O., Algin, A., & Yusufoglu, K. (2021). Thoracic diameters and cardiopulmonary resuscitation-related injuries. Int J Clin Pract, 75(8), e14202. https://doi.org/10.1111/ijcp.14202 18.Azeli, Y., Barberia, E., Jimenez-Herrera, M., Ameijide, A., Axelsson, C., & Bardaj, A. (2019). Serious injuries secondary to cardiopulmonary resuscitation: incidence and associated factors. Emergencias, 31(5), 327–334 19.Emohare, O., Cagan, A., Morgan, R., Davis, R., Asis, M., Switzer, J., & Polly, D. W., Jr. (2014). The use of computed tomography attenuation to evaluate osteoporosis following acute fractures of the thoracic and lumbar vertebra. Geriatr Orthop Surg Rehabil, 5(2), 50–55. https://doi.org/10.1177/2151458514525042 20.Gausden, E. B., Nwachukwu, B. U., Schreiber, J. J., Lorich, D. G., & Lane, J. M. (2017). Opportunistic Use of CT Imaging for Osteoporosis Screening and Bone Density Assessment: A Qualitative Systematic Review. J Bone Joint Surg Am, 99(18), 1580–1590. https://doi.org/10.2106/JBJS.16.00749 21.Lee, S. Y., Kwon, S. S., Kim, H. S., Yoo, J. H., Kim, J., Kim, J. Y., Min, B. C., Moon, S. J., & Sung, K. H. (2015). Reliability and validity of lower extremity computed tomography as a screening tool for osteoporosis. Osteoporos Int, 26(4), 1387–1394. https://doi.org/10.1007/s00198-014-3013-x 22.https://cpr.heart.org/en/resources/what-is-cpr 23.Court-Brown, C. M., Heckman, J. D., McQueen, M. M., Ricci, W. M., & Tornetta, P. (2019). Rockwood and Green's Fractures in Adults. Wolters Kluwer. 24.Kashiwagi, Y., Sasakawa, T., Tampo, A., Kawata, D., Nishiura, T., Kokita, N., Iwasaki, H., & Fujita, S. (2015). Computed tomography findings of complications resulting from cardiopulmonary resuscitation. Resuscitation, 88, 86–91. https://doi.org/10.1016/j.resuscitation.2014.12.022 25.Oya, S., Shinjo, T., Fujii, Y., Kamo, J., Teruya, H., & Kinoshita, H. (2016). CPR related thoracic injury: a comparison of CPR guidelines between 2005 and 2010. Acute Med Surg, 3(4), 351–355. https://doi.org/10.1002/ams2.215 26.Yamaguchi, R., Makino, Y., Chiba, F., Torimitsu, S., Yajima, D., Inokuchi, G., Motomura, A., Hashimoto, M., Hoshioka, Y., Shinozaki, T., & Iwase, H. (2017). Frequency and influencing factors of cardiopulmonary resuscitation-related injuries during implementation of the American Heart Association 2010 Guidelines: a retrospective study based on autopsy and postmortem computed tomography. Int J Legal Med, 131(6), 1655–1663. https://doi.org/10.1007/s00414-017-1673-8 27.Dunham, G. M., Perez-Girbes, A., Bolster, F., Sheehan, K., & Linnau, K. F. (2018). Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest. Eur Radiol, 28(10), 4122–4127. https://doi.org/10.1007/s00330-017-5117-0 28.Deveci, C., Turgut, B., & Atilgan, M. (2025). Post-cardiopulmonary resuscitation trauma: retrospective analysis of skeletal and visceral injuries in autopsy findings. Forensic Sci Med Pathol, 21(3), 1222–1229. https://doi.org/10.1007/s12024-025-01028-1 29.Rilana Baumeister a, n., Ulrike Held b, Michael J Thalia, Patricia M Flach a, Steffen Ross a. (2015). Forensic imaging ndings by post-mortem computed tomography after manual versus mechanical chest compression. Journal of Forensic Radiology and Imaging, 3, 167–173. 30.Kralj, E., Podbregar, M., Kejzar, N., & Balazic, J. (2015). Frequency and number of resuscitation related rib and sternum fractures are higher than generally considered. Resuscitation, 93, 136–141. https://doi.org/10.1016/j.resuscitation.2015.02.034 31.Deliliga, A., Chatzinikolaou, F., Koutsoukis, D., Chrysovergis, I., & Voultsos, P. (2019). Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases. BMC Emerg Med, 19(1), 23. https://doi.org/10.1186/s12873-019-0234-5 32.Umit, T. B., Sogut, O., Az, A., Cakmak, S., & Demirel, I. (2022). Relationship between measures of thoracic diameter and cardiopulmonary resuscitation-induced thoracoabdominal injury. Rev Assoc Med Bras (1992), 68(10), 1470–1475. https://doi.org/10.1590/1806-9282.20220822 33.Wang, C. H., Huang, C. H., Chang, W. T., Fu, C. M., Wang, H. C., Tsai, M. S., Yu, P. H., Wu, Y. W., Ma, M. H., & Chen, W. J. (2018). Associations between body size and outcomes of adult in-hospital cardiac arrest: A retrospective cohort study. Resuscitation, 130, 67–72. https://doi.org/10.1016/j.resuscitation.2018.07.006 34.Liu, J. Z., Ye, S., Cheng, T., Han, T. Y., Li, Q., Li, R. X., Zhang, Z., Li, T. Y., He, Y. R., Zeng, Z., & Cao, Y. (2019). The effects of thoracic cage dimension and chest subcutaneous adipose tissue on outcomes of adults with in-hospital cardiac arrest: A retrospective study. Resuscitation, 141, 151–157. https://doi.org/10.1016/j.resuscitation.2019.06.278 35.Moradicheghamahi, J., Fortuny, G., Lopez, J. M., Puigjaner, D., Herrero, J., & Azeli, Y. (2023). The effect of thoracic dimensions on compression depth during cardiopulmonary resuscitation. Int J Numer Method Biomed Eng, 39(7), e3718. https://doi.org/10.1002/cnm.3718 36.Hokenek, N. M., & Erdogan, M. O. (2021). Effect of Differences in Thorax Volume and Dimensions on CPR-related Injuries. J Coll Physicians Surg Pak, 31(3), 267–272. https://doi.org/10.29271/jcpsp.2021.03.267 37.Kashiwagi, Y., Sasakawa, T., Tampo, A., Kawata, D., Nishiura, T., Kokita, N., Iwasaki, H., & Fujita, S. (2015). Computed tomography findings of complications resulting from cardiopulmonary resuscitation. Resuscitation, 88, 86–91. https://doi.org/10.1016/j.resuscitation.2014.12.022 38.Secombe, P., Sutherland, R., & Johnson, R. (2017). Body mass index and thoracic subcutaneous adipose tissue depth: possible implications for adequacy of chest compressions. BMC Res Notes, 10(1), 575. https://doi.org/10.1186/s13104-017-2918-9 39.Lee, H., Oh, J., Lee, J., Kang, H., Lim, T. H., Ko, B. S., Cho, Y., & Song, S. Y. (2019). Retrospective Study Using Computed Tomography to Compare Sufficient Chest Compression Depth for Cardiopulmonary Resuscitation in Obese Patients. J Am Heart Assoc, 8(23), e013948. https://doi.org/10.1161/JAHA.119.013948 40.Pei-Chuan Huang, E., Fu, C. M., Chang, W. T., Huang, C. H., Tsai, M. S., Chou, E., Wolfshohl, J., Wang, C. H., Wu, Y. W., & Chen, W. J. (2021). Associations of thoracic cage size and configuration with outcomes of adult in-hospital cardiac arrest: A retrospective cohort study. J Formos Med Assoc, 120(1 Pt 2), 371–379. https://doi.org/10.1016/j.jfma.2020.06.002 41.Schenderlein, A., Groh, J., Kern, F., Perl, M., & Schulz-Drost, S. (2025). CPR related injuries of the chest wall: direct and indirect fractures. Eur J Trauma Emerg Surg, 51(1), 9. https://doi.org/10.1007/s00068-024-02678-6 42.Hashimoto, Y., Moriya, F., & Furumiya, J. (2007). Forensic aspects of complications resulting from cardiopulmonary resuscitation. Leg Med (Tokyo), 9(2), 94–99. https://doi.org/10.1016/j.legalmed.2006.11.008 43.Yonezawa, N., Nakayama, Y., Takei, T., Toh, M., Asano, M., Imamura, T., & Ito, T. (2017). Fatal delayed rupture of the subclavian artery in a patient with first-rib fracture caused by blunt trauma. Clin Case Rep, 5(3), 260–263. https://doi.org/10.1002/ccr3.823 44.Travers, B., & Murphy, L. (2025). Aortic Laceration From Posterior Rib Fractures After a Ground-Level Fall: A Case Report. J Emerg Med, 70, 139–141. https://doi.org/10.1016/j.jemermed.2024.09.020 45.Yanagawa, Y., Kaneko, N., Hagiwara, A., Kimura, T., & Isoda, S. (2008). Delayed sudden cardiac arrest induced by aortic injury with a posterior fracture of the left rib. Gen Thorac Cardiovasc Surg, 56(2), 91–92. https://doi.org/10.1007/s11748-007-0186-7 46.Lardi, C., Egger, C., Larribau, R., Niquille, M., Mangin, P., & Fracasso, T. (2015). Traumatic injuries after mechanical cardiopulmonary resuscitation (LUCAS2): a forensic autopsy study. Int J Legal Med, 129(5), 1035–1042. https://doi.org/10.1007/s00414-015-1146-x 47.Perera TB, Alahmadi MH, King KC. Flail Chest. [Updated 2025 Jun 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK534090/ 48.Ram, P., Menezes, R. G., Sirinvaravong, N., Luis, S. A., Hussain, S. A., Madadin, M., Lasrado, S., & Eiger, G. (2018). Breaking your heart-A review on CPR-related injuries. Am J Emerg Med, 36(5), 838–842. https://doi.org/10.1016/j.ajem.2017.12.063 49.Okuda, T., Takanari, H., & Shiotani, S. (2015). A systematic review and pooled analysis of CPR-associated cardiovascular and thoracic injuries. Resuscitation, 97, e3. https://doi.org/10.1016/j.resuscitation.2014.12.035 50.von Garrel, T., Ince, A., Junge, A., Schnabel, M., & Bahrs, C. (2004). The sternal fracture: radiographic analysis of 200 fractures with special reference to concomitant injuries. J Trauma, 57(4), 837–844. https://doi.org/10.1097/01.ta.0000091112.02703.d8 51.Bidstrup, J. E., Lochte, L., Busch, J. R., & Banner, J. (2025). Cardiothoracic injuries and mechanical cardiopulmonary resuscitation - A forensic autopsy convenience control study on 436 cases. Forensic Sci Int, 370, 112452. https://doi.org/10.1016/j.forsciint.2025.112452 52.Van Wijck, S. F. M., Prins, J. T. H., Verhofstad, M. H. J., Wijffels, M. M. E., & Van Lieshout, E. M. M. (2024). Rib fractures and other injuries after cardiopulmonary resuscitation for non-traumatic cardiac arrest: a systematic review and meta-analysis. Eur J Trauma Emerg Surg. https://doi.org/10.1007/s00068-023-02421-7 53.Sonnemans, L. J. P., Bayat, A. R., Bruinen, A. R. C., van Wely, M. H., Brouwer, M. A., Bosboom, D., van der Hoeven, J. G., Prokop, M., & Klein, W. M. (2020). Comparing thoracoabdominal injuries of manual versus load-distributing band cardiopulmonary resuscitation. Eur J Emerg Med, 27(3), 197–201. https://doi.org/10.1097/MEJ.0000000000000642 54.Koga, Y., Fujita, M., Yagi, T., Nakahara, T., Miyauchi, T., Kaneda, K., Kawamura, Y., Oda, Y., & Tsuruta, R. (2015). Effects of mechanical chest compression device with a load-distributing band on post-resuscitation injuries identified by post-mortem computed tomography. Resuscitation, 96, 226–231. https://doi.org/10.1016/j.resuscitation.2015.08.013 55.Olds, K., Byard, R. W., & Langlois, N. E. (2015). Injuries associated with resuscitation - An overview. J Forensic Leg Med, 33, 39–43. https://doi.org/10.1016/j.jflm.2015.04.003 56.Klintschar, M., Darok, M., & Radner, H. (1998). Massive injury to the heart after attempted active compression-decompression cardiopulmonary resuscitation. Int J Legal Med, 111(2), 93–96. https://doi.org/10.1007/s004140050123 57.Hamanaka, K., Nishiyama, K., Nakamura, M., Takaso, M., & Hitosugi, M. (2020). Both Autopsy and Computed Tomography Are Necessary for Accurately Detecting Rib Fractures Due to Cardiopulmonary Resuscitation. Diagnostics (Basel), 10(9). https://doi.org/10.3390/diagnostics10090697 58.Schulze, C., Hoppe, H., Schweitzer, W., Schwendener, N., Grabherr, S., & Jackowski, C. (2013). Rib fractures at postmortem computed tomography (PMCT) validated against the autopsy. Forensic Sci Int, 233(1-3), 90–98. https://doi.org/10.1016/j.forsciint.2013.08.025 59.Smekal, D., Hansen, T., Sandler, H., & Rubertsson, S. (2013). Comparison of computed tomography and autopsy in detection of injuries after unsuccessful cardiopulmonary resuscitation. Resuscitation, 84(3), 357–360. https://doi.org/10.1016/j.resuscitation.2012.06.023 60.Cao, H., Chen, Q., Ding, Y., & Roberts, L. (2025). Research on the correlation between rib fracture characteristics and the risk of intrathoracic and intra-abdominal injuries. Chin J Traumatol, 28(6), 509–512. https://doi.org/10.1016/j.cjtee.2025.04.002 61.Haines, K. L., Zens, T., Warner-Hillard, C., DeSouza, E., Jung, H. S., & Agarwal, S. (2018). Rib Fracture Location Should Be Evaluated When Predicting Morbidity and Mortality in Trauma Patients. Am Surg, 84(9), 1462–1465. 62.Han, J. Y., Li, Y., Xia, X., Wang, S. W., Chen, Y. Z., Sun, M. L., Xing, J. X., Zhong, Y., Wu, X., & Yao, J. (2026). Comparison of the diagnostic efficacy of postmortem computed tomography and traditional autopsy in fracture detection: a meta-analysis. Int J Legal Med. https://doi.org/10.1007/s00414-026-03724-1 63.Lopatin, O., Moskala, A., Wozniak, K., & Bolechala, F. (2019). Analysis of cases of traumatic pneumothorax - conclusions based on post-mortem CT examinations for routine autopsy diagnostics. Arch Med Sadowej Kryminol, 69(1-2), 56–69. https://doi.org/10.5114/amsik.2019.89236 64.Currey, J. D. (1984). Effects of differences in mineralization on the mechanical properties of bone. Philos Trans R Soc Lond B Biol Sci, 304(1121), 509–518. https://doi.org/10.1098/rstb.1984.0042 | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/104501 | - |
| dc.description.abstract | 心肺復甦術（CPR）是挽救生命不可或缺的救護程序，然而高強度的胸外按壓常對患者胸廓造成不可避免的併發症與法醫的鑑定挑戰。死後電腦斷層掃描（PMCT）憑藉非侵入性與高敏感度，能捕捉傳統解剖難以發現的深層或微細骨折，成為銜接法醫鑑定的重要技術。本研究旨在透過 PMCT 建構心肺復甦術傷勢之空間分佈圖譜，分析個體特徵（年齡、性別、胸廓尺寸及骨質密度）與胸外按壓所致胸廓、臟器損傷之相關性，並比對司法解剖報告評估 PMCT 在醫源性創傷鑑定上的效能。
研究納入 2024 年間 152 例 18 歲以上、生前施予心肺復甦術且無明顯外力創傷之死者影像資料。結果顯示，肋骨骨折（93%）與胸骨骨折（67%）為最典型之傷勢。肋骨骨折具高度空間規律性，集中於胸廓前側第2至7肋；分佈型態顯示外側與後側肋骨傾向以完全骨折樣態出現。分析證實，性別顯著影響肋骨骨折發生率，男性發生完全骨折的風險為女性之2.4倍，而高齡與低骨質密度為預測骨折數量增加的因子。外，胸廓前後徑較小或胸型扁平（高Haller index）將顯著提升胸骨與後側肋骨骨折之風險。在臟器損傷方面，外側肋骨完全骨折被證實是預測血胸、氣胸發生的關鍵指標，男性、低骨質密度與高齡透過介導外側肋骨完全骨折，提高血胸、氣胸的發生率。一致性比對結果顯示，PMCT在偵測氣胸、不完全骨折及深層後側骨折上，具備優於傳統解剖的診斷優勢。 綜上所述，心肺復甦術所致之創傷並非隨機發生，而是由個體特徵與力學傳導共同導致。本研究建立的傷勢圖譜有助於法醫師鑑別急救傷與暴力創傷，排刻板印象，建立客觀且完整的鑑定真相；同時亦為臨床醫療提供併發症預警指標，在追求救治效益與維護生命尊嚴之間提供理性科學依據。 | zh_TW |
| dc.description.abstract | Background and Objective: Cardiopulmonary resuscitation (CPR) is a vital procedure, yet high-intensity chest compressions frequently result in skeletal and visceral injuries. Post-mortem computed tomography (PMCT) has become an essential tool in forensic medicine, offering high sensitivity in detecting subtle fractures that may be overlooked during traditional autopsy. This study aims to establish a spatial injury map of CPR-induced trauma and analyze the correlation between individual characteristics—such as age, sex, bone mineral density (BMD), and thoracic dimensions—and the resulting injuries.
Methods: A retrospective analysis was conducted on PMCT data from 152 adult cases (2024) who received CPR without evidence of external trauma. Statistical models,including regression analysis, were used to assess the influence of physiological variables on injury severity. PMCT findings were also compared with forensic autopsy reports to evaluate diagnostic performance. Results: Rib fractures (93%) and sternal fractures (67%) were the most prevalent injuries. Rib fractures showed a distinct spatial distribution, primarily involving the anterior region of the 2nd to 7th ribs. Fracture patterns varied by location: anterior fractures were mostly incomplete, whereas lateral and posterior fractures tended to be complete. Males had a 3.2-fold higher risk for complete rib fractures compared to females. Elder and lower BMD were significant predictors of increased fracture counts. Furthermore, a flat chest morphology (high Haller index) was associated with a significantly higher risk for sternal and posterior rib fractures. Hemothorax and pneumothorax, were strongly correlated with the presence of complete lateral rib fractures. PMCT demonstrated superior diagnostic sensitivity for pneumothorax and incomplete fractures compared to autopsy. Conclusions: CPR-induced injuries are non-random and significantly modulated by individual characteristics. The established injury map assists forensic pathologists in differentiating iatrogenic trauma from external violence. Clinically, these findings identify high-risk populations, providing a scientific basis for monitoring post-resuscitation complications and balancing medical intervention with patient dignity. | en |
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| dc.description.provenance | Made available in DSpace on 2026-08-27T16:05:28Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 目次
口試委員書 I 謝誌 II 中文摘要 III 英文摘要 IV 目次 VI 圖次 VIII 表次 X 第一章 緒論 1 第一節 研究背景 1 第二節 研究動機 4 第三節 研究目的 5 第二章 研究方法與材料 6 第一節 研究架構 6 第二節 研究對象 6 第三節 研究資料來源 7 第四節 研究資料收集與變項定義 7 第五節 研究影像設備 13 第六節 研究分析方法 14 第七節 名詞解釋 15 第三章 研究結果 16 第一節 法醫案件基本資料統計 16 第二節 心肺復甦術相關肋骨損傷分析 23 第三節 心肺復甦術相關胸骨損傷 53 第四節 其他傷勢分析 60 第五節 解剖報告統計 75 第四章 討論 82 第一節 個體特徵與心肺復甦術後傷勢關聯之探討 82 第二節 胸廓骨折型態與位置探討 91 第三節 臟器傷勢與個體特徵、肋骨骨折傷勢之關聯探討 98 第四節 死後電腦斷層掃描與解剖報告傷勢研判一致性探討 104 第五章 研究限制與建議 107 第六章 結論 109 參考文獻 110 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 心肺復甦術（CPR） | - |
| dc.subject | 醫源性創傷 | - |
| dc.subject | 死後電腦斷層掃描（PMCT） | - |
| dc.subject | 傷勢圖譜 | - |
| dc.subject | 胸廓/臟器損傷 | - |
| dc.subject | 個體特徵分析 | - |
| dc.subject | Cardiopulmonary resuscitation (CPR) | - |
| dc.subject | Post-mortem computed tomography (PMCT) | - |
| dc.subject | Iatrogenic injury | - |
| dc.subject | Thoracic morphology | - |
| dc.subject | Individual Characteristics | - |
| dc.title | 利用死後電腦斷層掃描分析心肺復甦術期間胸外按壓所致之併發症 | zh_TW |
| dc.title | Postmortem Computed Tomography Analysis of Chest Compression–Induced Complications During Cardiopulmonary Resuscitation | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 114-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 翁德怡;蔡崇弘 | zh_TW |
| dc.contributor.oralexamcommittee | Te-I Weng;Chong-Hong Tsai | en |
| dc.subject.keyword | 心肺復甦術（CPR）; 醫源性創傷; 死後電腦斷層掃描（PMCT）; 傷勢圖譜; 胸廓/臟器損傷; 個體特徵分析 | zh_TW |
| dc.subject.keyword | Cardiopulmonary resuscitation (CPR); Post-mortem computed tomography (PMCT); Iatrogenic injury; Thoracic morphology; Individual Characteristics | en |
| dc.relation.page | 120 | - |
| dc.identifier.doi | 10.6342/NTU202601259 | - |
| dc.rights.note | 未授權 | - |
| dc.date.accepted | 2026-06-17 | - |
| dc.contributor.author-college | 醫學院 | - |
| dc.contributor.author-dept | 法醫學研究所 | - |
| dc.date.embargo-lift | N/A | - |
| 顯示於系所單位： | 法醫學科所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-114-2.pdf 未授權公開取用 | 8.3 MB | Adobe PDF |
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