关键词: Atypical location Captive-bolt gun Chest wound Occupation-related suicide Suicide

Mesh : Male Humans Middle Aged Head Injuries, Penetrating Suicidal Ideation Soot Wounds, Gunshot Heart Injuries / etiology

来  源:   DOI:10.1007/s12024-021-00456-z

Abstract:
We present a case of a 56-year-old man who committed suicide using a captive-bolt gun, pressed against the left side of his chest. As the victim worked as a butcher, slaughtering livestock, he owned a captive-bolt gun. Just before committing suicide, he received a disturbing phone call from a person to whom he owed money. The autopsy revealed a 12-mm wound in the left pectoral region with two symmetrical, oval soot deposits. The wound extended through the fifth left rib, the pericardium, and the inferior portion of the anterior wall of the left ventricle. There was a partial-thickness tear in the left aspect of the interventricular septum with associated contusion. About 300 ml of the blood was found within the pericardial sack and about 1200 ml in the left pleural cavity. Atypical location (left chest vs. head), absence of previous suicide attempts and suicide note, and the apparent immediate provoking event suggest abrupt rather than premeditated suicide.
摘要:
我们介绍了一个56岁的男子使用系留螺栓枪自杀的案例,压在他胸部的左侧。当受害者是屠夫时,屠宰牲畜,他有一把螺栓枪.就在自杀之前,他接到一个他欠他钱的人打来的令人不安的电话。尸检显示左胸区有一个12毫米的伤口,有两个对称的伤口,椭圆形烟灰沉积物。伤口延伸穿过左第五根肋骨,心包,和左心室前壁的下部。室间隔左侧有部分厚度撕裂,伴有挫伤。在心包袋中发现了约300毫升的血液,在左胸膜腔中发现了约1200毫升的血液。非典型位置(左胸部vs.head),没有自杀企图和遗书,明显的立即挑衅事件表明突然而不是有预谋的自杀。
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