Abstract：
UNASSIGNED: Acute and chronic alcohol use is associated with injury, and autopsies may be performed to ascertain injury deaths in persons with acute or chronic alcohol use. This study sought to determine how many decedents with a history of acute or chronic alcohol use had an internal physical injury diagnosed only at autopsy that caused or contributed to the death. The study reviewed medicolegal investigation and autopsy reports at the New York City Office of Chief Medical Examiner between January 1 and October 11, 2018, to identify 1000 consecutive persons with suspected acute or chronic alcohol use who were autopsied to ascertain whether internal physical injury caused or contributed to the death. Of 1000 persons with known or suspected acute or chronic alcohol use, 390 (39.0%) had an external injury. Although 115 (11.5%) had an internal injury at autopsy, only 29 (2.9%) had an injury that caused or contributed to the death. Only 1 decedent had an internal injury that caused the death with no associated external evidence of injury (0.1%). This study demonstrates the rarity of occult lethal injury diagnosed at autopsy in persons with acute or chronic alcohol use.
摘要：
未经证实：急性和慢性饮酒与受伤有关，可以进行尸体解剖，以确定急性或慢性饮酒的人受伤死亡。这项研究旨在确定有多少有急性或慢性饮酒史的死者仅在尸检时被诊断为内部身体损伤，导致或导致死亡。该研究回顾了2018年1月1日至10月11日在纽约市首席医学检查官办公室进行的法医学调查和尸检报告，以确定1000名连续怀疑急性或慢性饮酒的人，他们进行了尸检，以确定内部身体伤害是否导致或导致死亡。在1000名已知或怀疑急性或慢性饮酒的人中，390（39.0％）有外部损伤。虽然尸检中有115人(11.5%)有内伤，只有29人(2.9%)受伤导致或促成死亡.只有1名死者的内伤导致死亡，没有相关的外部伤害证据（0.1％）。这项研究表明，在急性或慢性饮酒的人中，尸检中诊断出的隐匿性致命伤害很少。
