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| ???org.dspace.app.webui.jsptag.ItemTag.dcfield??? | Value | Language |
|---|---|---|
| dc.contributor.advisor | 張晉誠 | zh_TW |
| dc.contributor.advisor | Chin-Chen Chang | en |
| dc.contributor.author | 蔡麗君 | zh_TW |
| dc.contributor.author | Li-Chun Tsai | en |
| dc.date.accessioned | 2024-08-16T17:55:08Z | - |
| dc.date.available | 2024-08-17 | - |
| dc.date.copyright | 2024-08-16 | - |
| dc.date.issued | 2024 | - |
| dc.date.submitted | 2024-06-28 | - |
| dc.identifier.citation | 1. 聯合國, 兒童權利公約. 1989.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/94740 | - |
| dc.description.abstract | 本研究旨在探討法醫電腦斷層掃描技術在兒童死亡案件鑑定中的應用性。運用回溯研究方法，分析法醫鑑定的解剖報告及死後電腦斷層掃描影像，對比兩種鑑定方法在不同兒童死亡案例中的優點與限制。
透過332件兒童死亡案例分析，深入瞭解近年來臺灣地區六歲以下兒童死亡案件的趨勢，死亡方式中以自然死亡人數最多，其次是意外死亡及他殺案。一歲以下兒童的自然死亡比例有所提升，而兒童他殺案件的總量在近年顯著下降。案件地域分析顯示，北部地區的案件量顯著減少，而中部地區的案件量則顯著增加。死亡原因方面，「疾病」、「窒息」、「生產相關並發症」、「腦傷」及「猝死」則為兒童前五大死因。經研究結果顯示，法醫電腦斷層掃描對骨骼檢查及嚴重創傷的評估具有高度敏感性，能提供更全面的客觀證據，尤其，對較難解剖的區域或非常規解剖部位提供更完整的視野。此外，肺炎、嗆奶致死和生產相關併發症也是臺灣常見的兒童死亡原因。然而，法醫電腦斷層掃描受到死後空腔間積液累積和肺部水腫變化的影響，肺部影像判讀效果受到限制，死因的研判需要結合法醫解剖的顯微觀察及其他鑑定方法進一步綜合評估。 綜觀兒童死亡案件的法醫鑑定，結合法醫解剖與法醫影像的觀察，可以提供更全面且精確的死亡原因分析，從而提高兒童死亡案件的鑑定品質，為法醫實務帶來實質益處。本研究期望能加深各界對法醫電腦斷層掃描的理解，並在未來法醫實務中更加高效地應用法醫影像技術。 | zh_TW |
| dc.description.abstract | The aim of this study is to explore the applicability of postmortem computed tomography (PMCT) in the investigation of these cases. We retrospectively reviewed autopsy reports and PMCT images, comparing the advantages and limitations of both methods in various child mortality cases.
Analysis of 332 child mortality cases, we gained an in-depth understanding of the trends in mortality among children under six years old in Taiwan in recent years. The majority of deaths were due to natural causes, followed by accidental deaths and homicides. The proportion of natural deaths in children under one year old has increased, while the total number of child homicide cases has significantly declined in recent years. Regional analysis indicates a significant decrease in cases in northern Taiwan, while the number of cases in central Taiwan has notably increased. The top five causes of death among children were "disease," "asphyxiation," "birth-related complications," "brain injury," and "sudden death." The study results show that PMCT is highly sensitive in assessing skeletal injuries and severe trauma, providing more comprehensive and objective evidence, particularly in areas that are difficult to dissect or in non-routine autopsy regions. Additionally, pneumonia, milk aspiration, and birth-related complications are common causes of child mortality in Taiwan. However, the effectiveness of PMCT in interpreting lung images is limited by postmortem fluid accumulation in the cavities and pulmonary edema. Determining the cause of death requires the integration of microscopic observation and other forensic examination alongside PMCT. In conclusion, the combined use of forensic autopsy and PMCT in child mortality cases can offer a more comprehensive and accurate analysis of the cause of death, thereby improving the quality of forensic investigations and providing tangible benefits to forensic practice. This study seeks to enhance the understanding of PMCT and to facilitate more efficient application of forensic imaging techniques in future forensic investigations. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2024-08-16T17:55:07Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2024-08-16T17:55:08Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 口試委員會審定書 I
誌謝 II 中文摘要 III 英文摘要 IV 目次 VI 圖次 IX 表次 XI 第一章 緒論 1 第一節 研究背景 1 第一項 兒童權利與法醫角色 1 第二項 臺灣地區的兒童死亡統計 2 第三項 臺灣與各國兒童死亡率比較 3 第四項 法醫影像學的起源及發展現況 4 第五項 法醫電腦斷層掃描於法醫實務之應用 5 第六項 法醫電腦斷層掃描於六歲以下死亡案例之重要性 6 第二節 研究動機 7 第三節 研究目的 7 第二章 研究方法與材料 8 第一節 研究架構 8 第二節 研究對象 9 第三節 研究資料來源 9 第四節 研究資料收集 10 第一項 案例背景與解剖鑑定資料 10 第二項 法醫電腦斷層掃描資料 10 第五節 法醫影像設備 11 第六節 資料分析方法 12 第七節 名詞解釋 13 第一項 兒童成長階段 13 第二項 兒童年齡計算方式 13 第三項 兒童死亡率指標 13 第三章 研究結果 14 第一節 法醫案件基本資料統計 14 第一項 性別、國籍及年齡統計 14 第二項 死亡原因統計 15 第三項 死亡方式統計 19 第四項 承辦地方檢察署 22 第五項 案發地點、季節及時段 26 第六項 法醫鑑定方式統計 37 第二節 法醫電腦斷層掃描鑑定之研究分類 37 第一項 呼吸相關疾病 38 第二項 心臟相關疾病 41 第三項 嗆奶窒息 44 第四項 姿勢性窒息 50 第五項 異物哽塞窒息 54 第六項 腦損傷 55 第七項 生產相關併發症 59 第八項 高處墜落 63 第九項 猝死 64 第四章 討論 67 第一節 個案統計資料分析 67 第一項 性別比與死亡方式分析 67 第二項 兒童死亡原因分析 67 第三項 兒童死亡方式分析 69 第四項 臺灣各地區兒童死亡案件分析 70 第二節 兒童死亡於法醫電腦斷層掃描發現與應用 71 第一項 兒童肺炎案例的法醫鑑定 71 第二項 兒童嗆奶致死案例的法醫鑑定 72 第三項 判別死產或活產的法醫鑑定 74 第四項 兒童創傷的法醫影像發現 76 第三節 法醫電腦斷層掃描於實務應用 81 第一項 法醫電腦斷層掃描之優勢 81 第二項 法醫電腦斷層掃描之限制 82 第五章 研究限制與未來展望 83 第六章 結論 84 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 法醫影像 | zh_TW |
| dc.subject | 解剖 | zh_TW |
| dc.subject | 創傷 | zh_TW |
| dc.subject | 死後電腦斷層 | zh_TW |
| dc.subject | 死後變化 | zh_TW |
| dc.subject | 兒童 | zh_TW |
| dc.subject | 臺灣 | zh_TW |
| dc.subject | Taiwan | en |
| dc.subject | autopsy | en |
| dc.subject | postmortem changes | en |
| dc.subject | trauma | en |
| dc.subject | postmortem computed tomography | en |
| dc.subject | children | en |
| dc.subject | forensic imaging | en |
| dc.title | 臺灣地區法醫電腦斷層掃描於六歲以下死亡案例之應用 | zh_TW |
| dc.title | The application of postmortem computed tomography in child fatalities under six years old in Taiwan | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 112-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 蔡崇弘;許倬憲 | zh_TW |
| dc.contributor.oralexamcommittee | Chung-Hung Tsai;Cho-Hsien Hsu | en |
| dc.subject.keyword | 臺灣,兒童,死後電腦斷層,法醫影像,解剖,死後變化,創傷, | zh_TW |
| dc.subject.keyword | Taiwan,children,postmortem computed tomography,forensic imaging,autopsy,postmortem changes,trauma, | en |
| dc.relation.page | 93 | - |
| dc.identifier.doi | 10.6342/NTU202401373 | - |
| dc.rights.note | 同意授權(限校園內公開) | - |
| dc.date.accepted | 2024-06-28 | - |
| dc.contributor.author-college | 醫學院 | - |
| dc.contributor.author-dept | 法醫學研究所 | - |
| dc.date.embargo-lift | 2029-06-27 | - |
| Appears in Collections: | 法醫學科所 | |
Files in This Item:
| File | Size | Format | |
|---|---|---|---|
| ntu-112-2.pdf Restricted Access | 2.59 MB | Adobe PDF | View/Open |
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