Notice: Undefined index: digest in /websites/forum2008/viewthread.php on line 554 Notice: Undefined index: views in /websites/forum2008/viewthread.php on line 555 Notice: Undefined index: replies in /websites/forum2008/viewthread.php on line 557 Notice: Undefined index: adminid in /websites/forum2008/include/global.func.php on line 305 Notice: Undefined index: allowreply in /websites/forum2008/viewthread.php on line 196 Notice: Undefined index: allowpost in /websites/forum2008/viewthread.php on line 197 Notice: Undefined index: visitedfid in /websites/forum2008/include/forum.func.php on line 113 Notice: Undefined index: visitedfid in /websites/forum2008/include/forum.func.php on line 125 Notice: Undefined index: relate in /websites/forum2008/viewthread.php on line 226 Notice: Undefined variable: statsdata in /websites/forum2008/viewthread.php on line 227 Notice: Undefined index: relate in /websites/forum2008/viewthread.php on line 228 Notice: Undefined index: topicrelatedad in /websites/forum2008/viewthread.php on line 228 Notice: Undefined index: traderelatedad in /websites/forum2008/viewthread.php on line 228 Notice: Undefined variable: authorid in /websites/forum2008/viewthread.php on line 317 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 1 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 Notice: Use of undefined constant tags - assumed 'tags' in /websites/forum2008/viewthread.php(601) : regexp code on line 2 抱嬰兒 不要搖!不要搖! - 親子 - 噓!論壇 _ 無忌的論壇 ~ 歡迎芝麻小事,別聊國家大事 ~

bbs.sheeee.com

‹‹ 上一主題 | 下一主題 ››
發新話題
列印

抱嬰兒 不要搖!不要搖!

Notice: Undefined index: modaction in /websites/forum2008/forumdata/templates/1_viewthread.tpl.php on line 104 Notice: Undefined index: magicname in /websites/forum2008/forumdata/templates/1_viewthread.tpl.php on line 104

抱嬰兒 不要搖!不要搖!

一位黑人母親帶著一歲小女孩至兒童醫院掛急診,小女孩的昏迷指數只剩3,
母親供稱她是跌落樓梯,經由醫院神經外科診斷確實有顱內及視網膜出血雖經移除顱
內血 塊,小女孩依然不幸被判定腦死。

至此,照顧她的醫師主動與警方連繫,警方會同檢察官至醫院檢察搜索之後,
便通知駐於法醫辦公室調查人員,將遺體運回法醫辦公室,隔日法醫師依據調查人員
所記錄及收集之醫院資料,以及母親的供詞進行解剖。

解剖發現小女孩頸部及頭部外表,沒有任何因跌落樓梯所引起的外傷,雙側
上臂有明顯抓痕及瘀青,打開顱腔後,發現腦膜下出血,取出眼球後,發現雙側視神經
與眼球交界處亦有出血,胸部及腹部內臟器官正常,法醫師最後的意見及結論是死因:
搖動嬰兒症候群,死亡方式:他殺!

筆者在美國受法醫病理訓練期間參與或目睹數起類似嬰兒死亡的案例,搖動
嬰兒症候群的定義是:嬰兒被抓住胸部及腋下由前至後搖動所導致的症候群,致病機轉
是由於嬰兒大腦神經細胞軸索外的髓燐脂發育尚未完全,頭部比例較大,前後劇烈搖動
所引起的加速及減速,會引起會小血管(如硬腦膜與蜘蛛膜間的橋靜脈)斷裂,而導致
腦膜下,視神經與眼球交界處,視網膜及腦內出血,大腦白質挫傷性裂傷,瀰漫性軸突
損傷,大腦底部腦挫傷,以及大腦水腫等病變。

此症候群大部份發生於一歲以下的嬰兒,從未聽說過發生於五歲以上的小孩,每年美國每一百萬人有三﹣五個案例,即一年大概有750﹣1200個案例發生,其中30%嬰兒因此死亡,30﹣50%的嬰兒有嚴重的神經病變及後遺症:包括智力遲緩,學習障礙,抽搐,失明,或躁動不安,有30%嬰兒會恢復正常,一般來說,雙親較年輕,及低社會或低經濟階層的家庭,比較容易發生此類案例,尤其是沒有經驗的先生或男友,對嬰兒長時間的哭鬧,常有意或無意所犯下此類的他殺行為。

筆者深切期盼:一,國人對搖動嬰兒症候群有基本的認知二,各醫院急診室
醫師,小兒科,神經內外科醫師及眼科醫師,應對虐待兒童問題隨時保持警覺,並與
警察及檢察官保持密切連繫三,國內應有完整的法醫團隊及運作系統(包括前線的醫師
警察單位檢察官調查人員,牙醫師,毒物學家,人類學家,及法醫師等),以及設備完
善的共同工作場所(如同國外的法醫辦公室),如此國內類似的他殺案件,方不至於被
當成意外事件處理,我們的社會正義才能得以維繫。
Notice: Undefined index: attachlist in /websites/forum2008/forumdata/templates/1_viewthread.tpl.php on line 245
我是小鹿

TOP

‹‹ 上一主題 | 下一主題 ››
發新話題
Notice: Undefined index: topicrelatedad in /websites/forum2008/forumdata/templates/1_adv.tpl.php on line 97 Notice: Undefined index: relate in /websites/forum2008/forumdata/templates/1_viewthread.tpl.php on line 587