关键词: Drowning Forensic pathology Murder-suicide Post mortem alcohol interpretation Spousal homicide-suicide Submerged corpses

Mesh : Aged, 80 and over Central Nervous System Depressants / blood Disabled Persons Drowning / diagnosis Ethanol / blood Female Homicide Humans Immersion Male Spouses Suicide, Completed

来  源:   DOI:10.1016/j.jflm.2021.102153   PDF(Sci-hub)

Abstract:
The body of an elderly man and his disabled wife were found submerged in a canal in open country one afternoon. They had last been seen alive that morning. The man\'s car was parked close to the canal and the woman\'s wheelchair was located in a stable position a few meters from the canal bank, facing away from the water. There were abrasions and bruises on the woman\'s forearms and hands and lower left leg, and the man\'s body displayed a bruise on the left hand and an abrasion of the left thumb likely caused by a fingernail. Other observations included frothy fluid exuding from the nose and in the airways, overdistended lungs with rib impressions and clear watery fluid in the stomach of both victims. Ethanol was detected in the peripheral blood of both corpses (1.0 g/L in the woman, 0.25 g/L in the man). The man was known to be stressed and depressed: he cared for his ailing spouse, who was affected by severe cognitive impairment and he had on several occasions expressed a desire to put an end to their misery. The hypotheses of a suicide pact or a double accident were in contrast with the woman\'s mental state and with the position of the wheelchair, respectively. The manner of death was consistent with a spousal murder-suicide involving a double drowning. Papers reporting similar cases are infrequent in the literature.
摘要:
一天下午,一名老人和他的残疾妻子的尸体被发现淹没在空旷国家的一条运河中。他们最后一次被人看见是在那天早上。男子的车停在运河附近,女子的轮椅位于离运河岸仅几米的稳定位置,远离水。该名女子的前臂,手和左小腿上有擦伤和瘀伤,该男子的身体显示出左手有瘀伤,左手拇指有擦伤,可能是指甲造成的。其他观察结果包括从鼻子和气道中渗出的泡沫液体,两个受害者的腹部都有肋骨印象和清澈的水样液体。在两具尸体的外周血中均检测到乙醇(女尸1.0g/L,0.25g/L的人)。众所周知,这名男子既压力又沮丧:他照顾生病的配偶,他受到严重认知障碍的影响,他曾多次表示希望结束他们的痛苦。自杀协议或双重事故的假设与女性的精神状态和轮椅的位置形成对比,分别。死亡方式与涉及双重溺水的配偶谋杀自杀一致。报道类似病例的论文在文献中很少见。
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