請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/48098
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 孫家棟(Chia-Tung Shun) | |
dc.contributor.author | Yang Hui-Ting | en |
dc.contributor.author | 楊惠婷 | zh_TW |
dc.date.accessioned | 2021-06-15T06:46:11Z | - |
dc.date.available | 2012-04-08 | |
dc.date.copyright | 2011-10-11 | |
dc.date.issued | 2011 | |
dc.date.submitted | 2011-06-21 | |
dc.identifier.citation | 1. Kliegman R, Nelson WE. Nelson textbook of pediatrics. Philadelphia: Saunders; 2007.
2. Estimates CM. http://www.childmortality.org/cmeMain.html. 3. 中國衛生部. 中國衛生統計年鑑 居民病傷死亡原因. 2010. 4. Lahariya C, Sudfeld C, Lahariya D, Tomar S. Causes of Child Deaths in India, 1985–2008: A Systematic Review of Literature. Indian Journal of Pediatrics. 2010;77(11):1303-1311. 5. Mathews TJ, MacDorman MF. Infant mortality statistics from the 2004 period linked birth/infant death data set. National Vital Statistics Reports. May 2 2007;55(14):1-32. 6. MacDorman MF, Mathews TJ. Infant deaths - United States, 2000-2007. Morbidity and Mortality weekly report. Surveillance Summaries/CDC. Jan 14 2011;60 Suppl:49-51. 7. 行政院衛生署. 死因統計. 2010. 8. Mathers CD, Boerma T, Ma Fat D. Global and regional causes of death. Br Med Bull. 2009;92:7-32. 9. Mazurek AJ. Epidemiology of paediatric injury. Journal Acciddent Emergency Medicine. Mar 1994;11(1):9-16. 10. 徐燕, 倪益群. 上海市崇明县1997~2004年0~4岁儿童死亡分析. 上海預防醫學. 2006;18(1):26-26. 11. Jagnoor J, Bassani DG, Keay L, Ivers RQ, Thakur J, Gururaj G, Jha P. Unintentional injury deaths among children younger than 5 years of age in India: a nationally representative study. Injury Prevention. Apr 14 2011 ;17(3):151-155. 12. Cavalcanti AL, Barros de Alencar CR. Injuries to the head and face in 0-4-year-old child victims of fatal external causes in Campina Grande, PB, Brazil. The Turkish Journal of Pediatrics. Nov-Dec 2010;52(6):612-617. 13. Bener A, Al-Salman KM, Pugh RNH. Injury mortality and morbidity among children in the United Arab Emirates. European Journal of Epidemiology. 1998;14(2):175-178. 14. 賴怜蜜, 張立東, 蔡明哲, 謝秀幸, 林佳蓉. 兒童事故傷害調查研究-以台南某醫學中心爲例. 嘉南學報(科技類). 2006(32):234-246. 15. Saukko PJ, Knight B. Knight's forensic pathology. third ed. New York: Distributed in the U.S. by Oxford University Press; 2004. 16. Hettler J, Greenes DS. Can the Initial History Predict Whether a Child With a Head Injury Has Been Abused? Pediatrics. March 1, 2003;111(3):602-607. 17. Kos L, Shwayder T. Cutaneous Manifestations of Child Abuse. Pediatric Dermatology. 2006;23(4):311-320. 18. Herman-Giddens ME, Brown G, Verbiest S, Carlson PJ, Hooten EG, Howell E, Butts JD.Underascertainment of child abuse mortality in the United States. The Journal of American Medical Association. Aug 4 1999;282(5):463-467. 19. Collins KA, Nichols CA. A decade of pediatric homicide: a retrospective study at the Medical University of South Carolina. The American Journal of Forensic Medicine and Pathology. Jun 1999;20(2):169-172. 20. Lee CK, Lathrop SL. Child Abuse-Related Homicides in New Mexico: A 6-year Retrospective Review. Journal of Forensic Sciences. 2010;55(1):100-103. 21. Chou C-Y, Su Y-J, Wu H-M, Chen S-H. Child physical abuse and the related PTSD in Taiwan: The role of Chinese cultural background and victims' subjective reactions. Child Abuse and Neglect. 2011;35(1):58-68. 22. Shen C-T. Long-term effects of interparental violence and child physical maltreatment experiences on PTSD and behavior problems: A national survey of Taiwanese college students. Child Abuse and Neglect. 2009;33(3):148-160. 23. 丘彥南, 江惠綾. 兒童虐待. 臺灣醫學. 2010;14(4):431-435. 24. Knight LD, Collins KA. A 25-year retrospective review of deaths due to pediatric neglect. The American Journal of Forensic Medicine and Pathology. Sep 2005;26(3):221-228. 25. 內政部統計處. 兒童及少年保護執行概況. 2008. 26. 黃惠玲, 張永源, 莊勝發, 蔡志浩, 王興耀. 低收入家庭與兒童虐待研究. The Kaohsiung Journal of Medical Sciences. 1992;8(1):35-44. 27. Coulter K. Bruising and skin trauma. Pediatrics in Review / American Academy of Pediatrics. Jan 2000;21(1):34-35; discussion 34-35. 28. Stephenson T. Bruising in children. Current Paediatrics. 1995;5(4):225-229. 29. Ingham AI, Langlois NE, Byard RW. The significance of bruising in infants—a forensic postmortem study. Archives of Disease in Childhood. March 1, 2011 ;96(3):218-220. 30. Carpenter RF. The prevalence and distribution of bruising in babies. Archives of Disease in Childhood. April 1, 1999 ;80(4):363-366. 31. Labbe J, Caouette G. Recent Skin Injuries in Normal Children. Pediatrics. August 1, 2001;108(2):271-276. 32. Fenton SJ, Bouquot JE, Unkel JH. Orofacial considerations for pediatric, adult, and elderly victims of abuse. Emergency Medicine Clinics of North America. Aug 2000;18(3):601-617. 33. Showers J, Garrison KM. Burn abuse: a four-year study. The Journal of Trauma. Nov 1988;28(11):1581-1583. 34. Stratman E, Melski J. Scald Abuse. Archives of Dermatology. March 1, 2002;138(3):318-320. 35. Andronicus M, Oates RK, Peat J, Spalding S, Martin H. Non-accidental burns in children. Burns. 1998;24(6):552-558. 36. Purdue GF, Hunt JL, Prescott PR. Child abuse by burning--an index of suspicion. The Journal of Trauma. Feb 1988;28(2):221-224. 37. Yeoh C, Nixon JW, Dickson W, Kemp A, Sibert JR. Patterns of scald injuries. Archives of Disease in Childhood. Aug 1994;71(2):156-158. 38. Christian CW. Assessment and evaluation of the physically abused child. 2003;5(1):21-46. 39. Feldman KW, Schaller RT, Feldman JA, McMillon M. Tap water scald burns in children. Injury Prevention. September 1, 1998;4(3):238-242. 40. Committee on Child Abuse and Neglect. Oral and Dental Aspects of Child Abuse and Neglect. Pediatrics. August 1, 1999;104(2):348-350. 41. Jain AM. Emergency department evaluation of child abuse. Emergency Medicine Clinics of North America. Aug 1999;17(3):575-593. 42. Hutchins KJ. ABC of child abuse. Archives of Disease in Childhood. May 1992;67(5):663-664. 43. Vogeley E, Pierce MC, Bertocci G. Experience With Wood Lamp Illumination and Digital Photography in the Documentation of Bruises on Human Skin. Archives of Pediatrics and Adolescent Medicine. March 1, 2002;156(3):265-268. 44. Piatt JH, Jr., Steinberg M. Isolated spinal cord injury as a presentation of child abuse. Pediatrics. Oct 1995;96(4 Pt 1):780-782. 45. 內政部統計處. 單齡別死亡數(按發生日期統計). 2009. 46. Bener A, Hyder AA, Schenk E. Trends in childhood injury mortality in a developing country: United Arab Emirates. Accident Emergency Nursing. Oct 2007;15(4):228-233. 47. Parsch J. The Cost of Being Male. Science. May 13, 2011;332(6031):798-799. 48. Fajardo GC, Hanzlick RL. A 10-year epidemiologic review of homicide cases in children younger than 5 years in Fulton County, GA: 1996-2005. The American Journal of Forensic Medicine and Pathology. Dec 2010;31(4):355-358. 49. Riggs JE, Hobbs GR. Infant homicide and accidental death in the United States, 1940–2005: ethics and epidemiological classification. Journal of Medical Ethics. March 30, 2011;37(7):445-448 50. Romain N, Michaud K, Horisberger B, Brandt-Casadevall C, Krompecher T, Mangin P. Childhood homicide: a 1990-2000 retrospective study at the Institute of Legal Medicine in Lausanne, Switzerland. Medicine, Science, and the Law. Jul 2003;43(3):203-206. 51. 內政部統計處統計通報. 兒童及少年保護執行概況. 2010. 52. 邱鈺鸞, 白璐, 鍾其祥, 蔡沛然, 簡戊鑑. 台灣1997-2008年受虐住院兒童傷害特性及趨勢. 亞洲家庭暴力與性侵害期刊. 2010;6(2):65-81. 53. 國立編譯館. 兒童發展 兒童發展與輔導. 臺北市: 正中; 1981. 54. 臺灣兒童暨家庭扶助基金會. 2011; http://cp.ccf.org.tw/index_a.php. 55. 紀琍琍, 紀櫻珍, 吳振龍. 兒童虐待及防治. 北市醫學雜誌. 2007;4(7):531-540. 56. Schnitzer PG, Ewigman BG. Child Deaths Resulting From Inflicted Injuries: Household Risk Factors and Perpetrator Characteristics. Pediatrics. November 1, 2005;116(5):687-693. 57. 張瀞云. 北台灣司法解剖之突然非預期性死亡的研究: A Study of the Sudden Unexpected Death of Forensic Autopsy in Northern Taiwan, 臺灣大學法醫學研究所碩士論文; 2010. 58. 國民健康局. 兒童健康手冊2010. 59. Levine B, Smith ML, Smialek JE, Caplan YH. Interpretation of low postmortem concentrations of ethanol. Journal of Forensic Sciences. May 1993;38(3):663-667. 60. Naso C, Jenkins AJ, Younger D, 3rd. A study of drug detection in a postmortem pediatric population. Journal of Forensic Sciences. Mar 2008;53(2):483-490. 61. O'Neal CL, Poklis A. Postmortem Production of Ethanol and Factors that Influence Interpretation: A Critical Review. The American Journal of Forensic Medicine and Pathology. 1996;17(1):8-20. 62. Girisch M, Hofbeck M, Rauch R, Apitz C, Sieverding L. Dimenhydrinate overdosage in a 3(1/2) year-old-girl with dilative cardiomyopathy. Klinische Padiatrie. Jan-Feb 2009;221(1):44-45. 63. Olson KR, Kearney TE, Dyer JE, Benowitz NL, Blanc PD. Seizures associated with poisoning and drug overdose. The American Journal of Emergency Medicine. May 1994;12(3):392-395. 64. Wolf GK, Schoeber JG, Vielhaber H. Life-threatening intoxication in twin neonates following accidental overdose of rectal dimenhydrinate. European Journal of Pediatrics. Nov 2002;161(11):632-633. 65. Blair PS, Fleming PJ, Bensley D, Smith I, Bacon C, Taylor E, Berry J, Golding J, Tripp J. Smoking and the sudden infant death syndrome: results from 1993-5 case-control study for confidential inquiry into stillbirths and deaths in infancy. British Medical Journal. July 27, 1996;313(7051):195-198. 66. Miller R, Miller M. Overrepresentation of Males in Traumatic Brain Injury of Infancy and in Infants With Macrocephaly: Further Evidence That Questions the Existence of Shaken Baby Syndrome. The American Journal of Forensic Medicine and Pathology. 2010;31(2):165-173 67. 內政部家庭暴力及性侵害防治委員會. 性侵害事件通報被害及加害人概況. 2009. 68. 李建璋. 2008 當代醫學 兒童性侵害評估. Vol 35, p444-447. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/48098 | - |
dc.description.abstract | 研究目的:本研究欲藉由司法解剖之兒童死亡案例分析其死亡方式及死亡原因,統計並比較相關的傷害型態,進而與國內外相關文獻比較,以期能提供關於臺灣本土兒童死亡案件更多的資訊。研究結果:本研究共收集394例六歲以下兒童司法解剖案例,自然死案例佔53.55%,意外死亡案例佔23.35%,他殺案例佔16.5%,未確認案例佔6.6%。男女性別比,除他殺案例以女童為多,意外死、自然死案例皆以男童為多。一歲以下嬰兒主要死亡原因依序為(1)意外事故,(2)肺炎,(3)嬰兒猝死症候群,而1~6歲主要死亡原因依序為(1)他殺,(2)意外事故,(3)肺炎。自然死案例死亡原因依序為(1)感染,尤以肺炎感染居多,(2)嬰兒猝死症候群,(3)生產相關併發症。意外死案例死亡原因依序為(1)窒息,以一歲以下嬰兒溢奶及異物阻塞氣管居多,(2)跌落,(3)生產意外。他殺案例死亡原因依序為(1)鈍性傷害,年齡愈小者,致命傷在頭部的機率愈高,且身體各部位傷害數量較意外死及自然死案例多出許多,成對捏傷、咬痕型態傷及會陰部紅腫傷害,為他殺案件所特有,(2)窒息,(3)中毒,可見我國主要的兒童虐待致死種類為身體虐待。各死亡方式中,以他殺案例的母親生產年齡為最低 (24.75歲)。施虐者主要以女性為主,且孩童父母及關係人有精神疾病及不良前科的比例較其他死亡方式高,值得社福單位的重視。綜合結論:由於本研究僅收集司法解剖案例,故在死亡原因的統計上與行政院衛生署的官方統計資料不盡相同,呈現出司法解剖族群資料統計上的偏差;因此建議提高本國兒童的司法解剖率,讓死亡方式及死亡原因統計更全面性,進而能發展相關的兒童保護政策,讓兒童能夠有更健康、安全的成長環境。 | zh_TW |
dc.description.abstract | Objective: The purpose of this study was to analyze manner and cause of death in children under six years old by forensic autopsy cases and compare related injury patterns, aiming to provide more information about children’s death.
Results: We collected 394 cases of children under six: 53.55% cases died of natural death, 23.35% cases died of accidental death, 16.5% cases died of homicide death, and 6.6% cases died of undetermined death. There were more girls than boys in homicidal cases. In more details, the three main cause of death in infants are (1) accidents, (2) pneumonia and (3) sudden infant death syndrome, and in 1~6 years old children are (1) homicides, (2) accidents and (3) pneumonia. Subanalysis the etiology in the three main manner of death in the group under six years old. The main etiology in natural death are (1) infection, mainly pneumonia, (2) sudden infant death syndrome and (3) birth-related complications ; in accidental death are (1) asphyxia, particularly in infants ( regurgitation or aspiration of foreign body in trachea), (2) falls and (3) birth accidents; and in homicide are (1) blunt injury, the younger children have the higher probabilities of fatal head injuries, and the distribution of body injuries are obviously higher than accident and natural death, especially paired pinching injury, bite marks and perineum injuries are specific for homicidal cases, (2) asphyxia and (3) poisoning. It showed that main type of child fatal abuse in Taiwan is physical abuse. In the homicide cases, maternal age is more in young (24.75 years old) and abusers are female-dominated. The proportions of mental illness, criminal records of parents or related people are the highest compared to other forms of manner of death. It’s worth social welfare institutions paying close attention to this situation. Conclusions: Because this study only analyzes forensic autopsy cases, there was selected bias compared to other researches. This study gives us a hint that promotes children’s forensic autopsy rate which will give more close relationship to the official epidemiological data. Then we can develop more appropriate children protection policies to promote our children to have a more healthy and safe milieu for growth. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T06:46:11Z (GMT). No. of bitstreams: 1 ntu-100-R95452006-1.pdf: 1266923 bytes, checksum: 034a7b2380a04f9b1d82c89569795937 (MD5) Previous issue date: 2011 | en |
dc.description.tableofcontents | 中文摘要 I
Abstract II 目 錄 IV 圖目錄 VII 表目錄 VIII 第一章 緒論 1 第一節 兒童自然死 1 第一項 國際間嬰兒死亡率與死亡原因比較 1 第二項 兒童自然死死亡原因統計 2 第二節 兒童意外死 2 第三節 兒童他殺 (虐待) 3 第一項 身體虐待 (Physical Abuse) 4 第二項 心理虐待 (Mental Abuse) 5 第三項 性虐待 (Sexual Abuse) 5 第四項 兒童疏忽照顧 (Child Neglect) 5 第四節 體外傷型態分析 6 第一項 瘀傷 (Bruises) 6 第二項 咬痕 (Bite marks) 7 第三項 燒燙傷 (Burns) 7 第四項 口腔傷害 (Oral injures) 8 第五項 其他傷害 8 第六項 其他類似於兒童虐待的傷害 8 第五節 研究動機 8 第六節 研究目的 9 第二章 研究方法與材料 10 第一節 資料來源 10 第二節 研究流程 10 第一項 收案條件 10 第二項 資料收集 10 第三節 分析相關資料 11 第四節 名詞解釋 11 第三章 研究結果 13 第一節 個案資料統計 13 第一項 司法解剖案例統計 13 第二項 個案地區分布統計 13 第二節 個案資料與死亡方式統計 13 第一項 性別與死亡方式統計 13 第二項 年齡分布與死亡方式統計 14 第三項 各死亡方式案例發生季節之四季分布統計 14 第四項 個案關係人與死亡方式統計 14 一、個案母親生產時之年齡統計 14 二、他殺案例之施虐者資料統計 15 第五項 個案死亡原因統計 15 一、國內司法解剖案例年齡與死亡原因總統計 15 二、自然死之死亡原因統計 16 三、意外死之死亡原因統計 16 四、他殺之死亡原因統計 17 第六項 酒精及毒藥物檢驗與死亡方式統計 18 一、血中酒精濃度 18 二、其他毒藥物 18 第三節 傷害型態統計 19 第一項 體表傷有無統計 19 第二項 傷害部位統計 19 一、頭臉部傷害統計 19 二、身體其他部位傷害統計 20 第三項 傷害種類數量統計 21 一、瘀傷、挫傷及擦傷 21 二、型態傷統計 21 三、燒灼燙傷統計 22 四、骨折傷害統計 22 五、陳舊傷 22 六、傷害型態總統計 22 第四章 討論 24 第一節 死亡案件數與實際司法解剖比率 24 第二節 司法解剖案例資料分析 24 第一項 性別與死亡方式分析 24 第二項 年齡與死亡方式分析 25 第三項 案例發生之月份與死亡方式分析 26 第四項 個案關係人與死亡方式分析 26 第五項 個案死亡原因分析 27 一、國內司法解剖案例之年齡與死亡原因分析 27 二、自然死之死亡原因分析 28 三、意外死之死亡原因分析 29 四、他殺之死亡原因分析 30 五、未確認之死亡原因分析 31 第六項 酒精及毒藥物檢驗與死亡方式分析 31 一、血中酒精濃度 31 二、其他毒藥物 32 第三節 傷害型態分析 33 第一項 體表傷有無分析 33 第二項 傷害部位分析 33 一、頭臉部傷害 33 二、身體其他部位傷害 34 第三項 傷害種類分析 35 第四節 死亡方式判定疑慮 35 第一項 他殺或意外死? 35 第二項 自然死或意外死? 36 第三項 兒童疏忽與各死亡方式之關係 36 第五節 實務上應用之建議 37 第六節 研究限制 39 第五章 結論 41 參考文獻 42 | |
dc.language.iso | zh-TW | |
dc.title | 從司法解剖看學齡前兒童死亡案件之統計與分析 | zh_TW |
dc.title | Analysis in Pre-school Child Mortality Cases via
Forensic Autopsy in Taiwan | en |
dc.type | Thesis | |
dc.date.schoolyear | 99-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 陳石池(Shyr-chyr Chen),林俊彥(Chun-Yen Lin) | |
dc.subject.keyword | 學齡前兒童,司法解剖,死亡方式,死亡原因,兒童虐待, | zh_TW |
dc.subject.keyword | Preschool Children,Forensic Autopsy,Cause of Death,Manner of Death,Child Abuse, | en |
dc.relation.page | 64 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2011-06-21 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 法醫學研究所 | zh_TW |
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-100-1.pdf 目前未授權公開取用 | 1.24 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。