CAJ | 학술논문

目的：使用多层螺旋CT（multi-slice spiral computed tomography，MSCT）技术对高坠伤的损伤特征进行观察分析，并通过对高坠伤的分析和观察重建高坠过程，从而探讨MSCT在分析高坠伤案例中的应用价值。方法以真实的高坠伤案例为对象，分别运用MSCT平扫、三维重建技术对尸体进行全面检查，联合运用系统尸体解剖分析高坠伤死亡方式等特点，比较尸体解剖和MSCT在获取损伤信息方面的差异。结果MSCT扫描结合三维重建，发现全身多部位骨折以及肝破裂，尸体解剖与影像学检查结果相对应，推断死亡原因为高坠致全身多发伤。结论 MSCT在高坠伤案件致伤方式分析中可作为传统尸体解剖的补充手段。
목적：사용다층라선CT（multi-slice spiral computed tomography，MSCT）기술대고추상적손상특정진행관찰분석，병통과대고추상적분석화관찰중건고추과정，종이탐토MSCT재분석고추상안례중적응용개치。방법이진실적고추상안례위대상，분별운용MSCT평소、삼유중건기술대시체진행전면검사，연합운용계통시체해부분석고추상사망방식등특점，비교시체해부화MSCT재획취손상신식방면적차이。결과MSCT소묘결합삼유중건，발현전신다부위골절이급간파렬，시체해부여영상학검사결과상대응，추단사망원인위고추치전신다발상。결론 MSCT재고추상안건치상방식분석중가작위전통시체해부적보충수단。
Objective To explore the application value of postm ortem m ulti-slice spiral com puted tom og-raphy (MSCT) in cases of fall from height through observing and analyzing the injury features of the fall and reconstructing the process of the fall based on the the above procedure. Methods One real fatal case due to fall from height was fully exam ined using MSCTand three-dim ensional reconstruction tech-nique. Analyzing the m anner and cause of death through com bination of MSCTand system ic autopsy was also im plem ented. The differences betw een autopsy and MSCTin getting inform ation of injuries were com pared. Results Fractures involving m ultiple body regions and liver rupture were found through MSCTand three-dim ensional reconstruction. The autopsy got the sam e results w ith im ageological exam i-nation. The case of death was deduced to be fall leading to system ic polytraum a. Conclusion Applica-tion of MSCTcan be used as the com plim entary for traditional autopsy in the analysis of injury m anner of fall from height.