Postmortem Changes

死后的变化
  • 文章类型: Case Reports
    文献中只报道了少数描述皮肤对人类尸体的活性的案例。Dermestesmaculatus是一种世界性的甲虫,与不同分解阶段的尸体有关,通常定殖成骨骼和木乃伊的遗骸。在这项研究中,我们在圣卡塔琳娜州提交了两例与人类尸体有关的D.maculatus的法医病例报告,巴西南部。在第一种情况下,在室外市区发现了一具尸体,尸体处于分解的晚期。在另一个,在一所封闭的房子里发现了一具木乃伊尸体。在最后一种情况下,在圣卡塔琳娜的科学警察中,D.maculatus的幼虫对于估计最小死后间隔(PMI)至关重要。我们的记录强调了坏死甲虫在生态演替中的重要性,以及在分解晚期涉及人类遗骸和尸体的情况下估计PMI的重要性。
    Only a few cases describing the activity of dermestids on human corpses have been reported in the literature. Dermestes maculatus is a cosmopolitan beetle associated with carcasses at different decomposition stages, usually colonizing skeletonized and mummified remains. In this study, we presented two forensic case reports of D. maculatus associated with human corpses in Santa Catarina State, southern Brazil. In the first case, a human corpse in an advanced stage of decomposition was found hanged in an outdoor urban area. In the other one, a mummified cadaver was found inside of a closed house. In this last case, larvae of D. maculatus were essential to estimate the minimum postmortem interval (PMI) for the first time in Scientific Police of Santa Catarina. Our records highlight the significance of necrophagous beetles in ecological succession and in estimating PMI in cases involving human remains and corpses in advanced stage of decomposition.
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  • 文章类型: Journal Article
    2020年2月24日,某市公安局指挥中心接到报警称,在某地高速公路北侧一桥下河道内发现一具尸体。.
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  • 文章类型: Case Reports
    尸检时通常会遇到死后动物清除产生的文物。了解死后动物清除产生的伪影模式对于正确解释尸检结果至关重要。在家庭死亡中,这些文物通常是由家畜和苍蝇等小昆虫引起的,蚂蚁,甲虫,等。蚂蚁是以尸体为食的早期食腐动物之一。死后蚂蚁活动产生的伪影通常是浅表和非出血类型。很少,在充血的身体区域和明显的低姿势区域,由于蚂蚁叮咬而导致的死后出血伪影是可能的。在报告的绞刑案例中,这种死后出血的文物出现在两条腿上,主要是左腿。结扎区也存在浅表划伤形式的典型蚂蚁咬伤病变,在两个乳头周围和腹部下部。形态学上,蚂蚁叮咬产生的死后出血伪影表现出四种模式:液滴模式,条纹图案,泳池模式,和混合模式。在这种情况下,观察到死后出血伪影的混合模式(液滴模式和条纹模式)。下肢上存在死后出血伪影归因于由于身体悬浮而导致的血液积聚,然后是蚂蚁咬伤导致的被动血液逸出。当病变的起源不清楚时,应考虑蚂蚁叮咬产生此类伪影的可能性。
    Artifacts produced by postmortem animal scavenging are commonly encountered at autopsy. Knowledge of the pattern of artifacts produced by postmortem animal scavenging is essential for the correct interpretation of the autopsy finding. In household deaths, such artifacts are usually caused by domestic animals and by small insects such as flies, ants, beetles, etc. Ants are one of the early scavengers which feed on the dead bodies. The artifacts produced by the postmortem ant activity are usually superficial and non-bleeding type. Rarely, in the congested body regions and areas of marked hypostasis, postmortem bleeding artifacts due to ant bites are possible. In the reported case of hanging, such postmortem bleeding artifacts were present over both the legs, predominantly over the left leg. Typical ant bite lesions in the form of superficial excoriations were also present over the peri-ligature area, over and around both nipples and over the lower part of the abdomen. Morphologically, postmortem bleeding artifacts produced by ant bites exhibit four patterns: droplet pattern, stripe pattern, pool pattern, and mixed pattern. In this case, a mixed pattern (droplet pattern and stripe pattern) of postmortem bleeding artifacts was observed. The presence of postmortem bleeding artifacts over the lower limbs was attributed to the pooling of the blood due to suspension of the body, followed by passive escape of blood due to ant bites. The possibility of such artifacts produced by ant bites should be considered when the origin of the lesion is unclear.
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  • 文章类型: Case Reports
    自从死亡估计以来,高体温和低体温在基于温度的法医时间中都存在问题。高热可能发生在感染中,创伤性脑损伤,和中毒。低温主要在暴露中遇到。脓毒症在临床上可表现为体温过低。脓毒症在法医环境中并不少见,并且大多发生在渎职指控的背景下。自从暴力或其他可疑死亡的死亡估计情景以来,败血症和典型的法医时间之间通常几乎没有重叠。在本案中,体温过低和死亡以来的时间估计确实发生了碰撞。一名囚犯被发现死在牢房里。监狱长声称,他们在视觉上相对较短地接近了他。直肠温度测量,使用两个独立的犯罪现场温度计和温度记录器,在相对较高的环境温度下显示直肠温度较低。这些发现表明死后间隔更长,因此引起了对所述时间表的怀疑。然而,监狱长的说法得到了摄像机录音的证实,这也允许合理估计真实的死亡时间。尸检证实死因为败血症器官衰竭,这解释了直肠温度低。注意到WISCHNEWSKI斑点的存在。当PRISM方法应用于温度记录时,成功检测到死亡时的低直肠温度。然而,对较低的“起始温度”的基本方程的适应没有产生令人满意的结果。结论是,即使死亡时的体温过低可能可以从温度数据中检测到,应该避免通过适应方程来估计体温过低病例的死亡时间。
    Both hyper- and hypothermia are problematic in temperature based forensic time since death estimation. Hyperthermia may occur in infection, traumatic brain injury, and intoxication. Hypothermia is encountered predominantly in exposure. Sepsis may present itself clinically as hypothermic. Sepsis is not uncommon in the forensic setting and mostly occurs in the context of malpractice accusations. There is usually little overlap between sepsis and typical forensic time since death estimation scenarios of violent or otherwise suspicious deaths. In the presented case, hypothermia and time since death estimations did collide. An inmate was found dead in his jail cell. Wardens claimed they had visually approached him alive relatively shortly prior. Rectal temperature measurements, using two separate crime scene thermometers as well as temperature loggers, revealed low rectal temperature at relatively high ambient temperature. These findings suggested a much longer postmortem interval and consequently raised doubts about the stated timeline. The wardens\' claims were however confirmed by camera recordings, which also allowed a reasonable estimate of the true time of death. The cause of death was confirmed as septic organ failure at autopsy, which explained low rectal temperature. The presence of WISCHNEWSKI-spots was noted. When the PRISM-method was applied to the temperature recordings, low rectal temperature at the time of death was detected successfully. However, adaptation of the underlying equation for lower \"starting temperature\" did not produce satisfactory results. It is concluded that even though hypothermia at the time of death may possibly be detected from temperature data, attempts at time since death estimation for cases of hypothermia by adaptation of the equation should be avoided.
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  • 文章类型: Case Reports
    某年5月7日,北京市某公安局接到群众电话报警,称一出租屋有异味传出,民警和法医到达现场后发现一名女性(62岁)在家中死亡。死者上身穿蓝色外套、红色毛衣,下身着黑色裤子和黑色袜子,呈仰卧位躺在卧室的床上。经现场勘验,未发现打斗痕迹,屋内所有设施及门窗完好。法医现场检查发现尸体上可见蟑螂成虫( 图1 A);尸体高度腐败,全身皮肤干燥,呈皮革样改变( 图1 B);右侧面颊部可见斑块样损伤及少量孔洞样皮肤缺损(中央部),双侧肩颈部及会阴部有大量蛹壳和部分蛹( 图1 C),背部可见大小不等的蝇类幼虫活动( 图1 D)。尸体检验未发现明显机械性损伤和机械性窒息征象,死亡原因不排除猝死。温湿度记录仪现场检测结果显示室内的环境温度为20.5 ℃,未供暖,未进行现场环境温度的连续监测。提取死亡现场尸体身上及周围的蛹壳、蛹及蟑螂,储存于75%乙醇溶液中,委托本系法医昆虫学实验室进行物种鉴定和死亡时间推断。.
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  • 文章类型: Case Reports
    目的:本研究评估了一例假病理学病例,以及死后的解剖学改变和环境影响对骨骼的影响。
    方法:来自中世纪早期遗址StaréMästo的年轻男性骨骼,可追溯到公元9-10世纪。
    方法:对骨骼遗骸进行了详细的宏观和X射线检查,然后进行CT扫描和XRF分析.
    结果:下颌骨的X射线检查显示异常致密的结构,其外观与任何已知的病理不一致。根据CT扫描的结果,假设这些是充满冲积沉积物的空腔。X射线荧光光谱法(XRF),专注于二氧化硅含量的测定,在骨骼受影响区域的样品中显示出高强度的二氧化硅。
    结论:包裹体由水性沉积物组成的假设得到了支持。
    结论:尽管众所周知,土壤可以渗入埋在地下的骨头,它在普通射线照片上的出现并不是众所周知的。该案例说明了将真实病理与死后改变区分开来以避免不当解释的有用性。
    结论:没有描述类似病例。
    在古病理学评估中,应使用多种影像学和评估技术来区分病理性病变和假性病变.
    OBJECTIVE: This study evaluates a case of pseudopathology and the effects that postmortem taphonomic changes and environmental influences can have on bone.
    METHODS: A skeleton of a young male from the early medieval site Staré Město, dated to the 9th-10th century CE.
    METHODS: The skeletal remains were subjected to detailed macroscopic and X-ray examination, and then a CT scan and XRF analysis were performed.
    RESULTS: X-ray examination of the mandible revealed unusually dense structures, whose appearance was not consistent with any known pathology. Based on the results of CT scanning, it was hypothesized that these were cavities filled with alluvial sediment. X-ray fluorescence spectrometry (XRF), focusing on the determination of the silica content, revealed a high intensity of silica in the samples of the affected area of the bone.
    CONCLUSIONS: The hypothesis that the inclusions were composed of waterborne sediment was supported.
    CONCLUSIONS: Although it is well known that soil can infiltrate bones buried in the ground, its appearance on plain radiographs is not that commonly known. The case illustrates the usefulness of differentiating true pathologies from postmortem alterations to avoid inappropriate interpretations.
    CONCLUSIONS: No similar cases have been described.
    UNASSIGNED: In palaeopathological evaluation, the use of multiple imaging and evaluative techniques should be implemented to differentiate pathological lesions from pseudopathology.
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  • 文章类型: Case Reports
    热血肿通常被认为是在烧伤体内发现的硬膜外腔中的死后热诱发的伪影。相反,烧焦身体的硬膜下血肿更表明了死前创伤。这里,我们在法医实践中介绍了一例罕见的硬膜下热血肿。硬膜下血肿是在烧焦的尸体中发现的,该尸体在火灾前被确定死亡,但没有发现死前头部受伤。此外,对硬膜下热血肿的详细测定和形成机制进行了讨论。在这个罕见的案例中,我们建议重新考虑热性血肿的经典定义。本报告设想使面对类似病例的法医病理学家受益。
    Heat hematoma is generally recognized as a postmortem heat-induced artifact in extradural spaces found in burned bodies. Conversely, subdural hematoma in charred bodies is more indicative of antemortem trauma. Here, we present a rare case of a subdural heat hematoma in forensic practice. The subdural hematoma was found in a charred body that was determined to be dead before the fire without findings of antemortem head injury. Furthermore, the detailed determination and formation mechanism of this subdural heat hematoma are discussed. With this rare case, we propose a reconsideration of the canonical definition of heat hematoma. This report envisions benefitting forensic pathologists facing similar cases.
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  • 文章类型: Journal Article
    昆虫毒理学分析不是常规毒理学分析的一部分。这项工作旨在介绍两个案例,以说明昆虫学样本作为互补基质在晚期腐败病例中识别物质的潜力。(病例1)一名妇女在14个月后被挖出,以确定确切的死亡原因。她在住院六周后因肠缺血和多器官衰竭而死亡。(案例2)一个女人的尸体,已知患有精神疾病,是在她的公寓里被发现的.身体的分解状态与几周(约6周)的验尸期一致。对病例#1的生物学和昆虫学样本进行了毒理学调查(头发,脂肪,大脑,和蛹)和2号病例(头发,骨头,苍蝇,和p)使用液相色谱与高分辨率质谱和串联质谱检测方法。在病例#1中,检测到几种药物和代谢物。特别是,蛹分析允许吗啡给药的客观化,而吗啡只在脂肪组中发现,但不在头发和大脑中。在2号病例中,蛹分析允许检测喹硫平的三种代谢物,果蝇分析允许检测到丙普罗胺,只在头发中检测到。总之,这两种情况下的p和果蝇分析补充了其他替代生物样品中获得的结果,这可以指导关于可能的死亡原因的假设。然而,额外的数据和病例报告将有助于评估昆虫毒理学在常规法医调查中的价值.
    Entomotoxicological analysis is not part of routine toxicological analysis. This work aims to present two cases to illustrate the potential of entomological samples as complementary matrices to identify substances in cases of advanced putrefaction. (Case#1) A woman wasexhumed after 14 months to ascertain the exact cause of death. She died after six weeks of hospitalization because of intestinal ischemia followed by multiorgan failure. (Case#2) The corpse of a woman, known to have a psychiatric disorder, was discovered in her apartment. The state of decomposition of the body was consistent with a post-mortem period of several weeks (approximately 6 weeks). Toxicological investigations were performed in the biological and entomological samples of case#1 (hair, adipocere, brain, and pupae) and of case#2 (hair, bone, flies, and pupae) using liquid chromatography with high-resolution mass spectrometry and tandem mass spectrometry detection methods. In case#1, several drugs and metabolites were detected. In particular, the pupae analyses allowed the objectification of morphine administration, whereas morphine was only found in adipocere, but not in hair nor in brain. In case#2, the pupae analyses allowed the detection of three metabolites of quetiapine, and the flies analyses allowed the detection of valpromide, which was only detected in hair. In conclusion, the pupae and flies analyses in these two cases complemented the results obtained in the other alternative biological samples, which may guide hypotheses about the possible causes of death. Nevertheless, additional data and case reports would be of benefit to assess the value of entomotoxicology in routine forensic investigations.
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  • 文章类型: Case Reports
    本文介绍了中国的两个室内案例,以尸体躺在床垫上为特征,盖着厚厚的被子,穿着衣服。使用昆虫学方法估计的尸体最小死后间隔(PMImin)存在明显偏差。根据现场的法医昆虫学证据,使用最近的气象站的温度数据估计的PMImin比根据警方调查和安全摄像机录像的实际验尸间隔(PMI)更长。PMImin估计错误的最可能原因是散热障碍,因为尸体躺在床垫上时被厚被子覆盖。因此,分解过程和幼虫活动产生的热量很难损失,导致昆虫的快速发展。这些病例报告强调了温度收集在法医昆虫学调查中的重要性。我们的发现需要标准化的温度采集程序,包括哪些温度测量(身体,处理类似案件时,应在法医昆虫学调查中使用微环境或环境温度)。
    This paper introduces two indoor cases in China, characterized by bodies lying on a mattress, covered with thick quilts and wearing clothes. There were obvious deviation in the estimated minimum postmortem interval (PMImin) of the corpses using entomological methods. Based on the forensic entomology evidence from the scene, the PMImin estimated using temperature data from the nearest weather station was longer than the actual postmortem interval (PMI) based on the police investigation and the security camera footage. The most probable cause of the errors in PMImin estimation was the hindrance in heat dissipation since the corpses were covered with thick quilts while lying on the mattress. Therefore, the heat generated by the decomposition process and larval activity was hard to lose, resulting in the rapid development of insects. These case reports emphasize the importance of temperature collection in forensic entomological investigations. Our findings call for standardized temperature acquisition procedures, including which temperature measurements (body, microenvironment or ambient temperature) should be used in forensic entomological investigations when handling similar cases.
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  • 文章类型: Journal Article
    凶杀案,特别是在尸体被隐藏的地方,对于调查人员来说,由于犯罪者使用隐藏身体或其组成部分的方法来进行检测,因此估计发生的时间具有独特的挑战性。用于确定最小验尸间隔(minPMI)的食尸昆虫生命周期的规律性得到了广泛采用,但如果在没有清楚了解影响昆虫进入和产卵行为的因素的情况下使用,则仍然是一种不可靠的技术。这项研究的目的是研究包裹身体部位对苍蝇定植的影响以及对minPMI计算的影响。使用四种处理猪肉(作为替代身体部位)进行了实地研究,在五次重复中,一个解开,另外三个包裹在黑色塑料袋中,一个小拉链洗衣袋(模拟手提箱),或进一步放置在洗漱袋中的塑料袋。在48小时的时间内,所有包裹方法都显着破坏了蝇蝇到肢解尸体的宿主发现过程,初始接触和产卵延迟30+h(取决于包裹),在潮湿条件下(48+h)甚至更多。与未包裹相比,包裹样品的鸡蛋数量也减少了99.1%。这些新发现凸显了在遇到包裹残存时对minPMI计算进行调整的重要性。minPMI计算准确性的进步将防止浪费宝贵的警察时间和资源,并更好地集中寻找凶杀案调查中的证人和嫌疑人。
    Homicide, particularly where a body has been concealed, is uniquely challenging for investigators to estimate the time of occurrence due to the methods employed by perpetrators to hide the body or its constituent parts from detection. The regularity of necrophagous insect lifecycles to determine minimum post-mortem interval (minPMI) is widely employed but remains an unreliable technique if used without a clear understanding of the factors that affect insect access and oviposition behaviour to concealed remains. The purpose of this study was to investigate the effect of wrapping body parts on fly colonisation and implications for minPMI calculations. Field studies were carried out using four treatments of pork (as surrogate body parts), in five replicates, one unwrapped, the other three wrapped in either a black plastic sack, a small-zipped wash bag (to simulate a suitcase), or a plastic sack further placed in a wash bag. Over a 48-h period all the methods of wrapping significantly disrupted the host-finding process of blowflies to dismembered carcasses, with a delay of initial contact and oviposition of 30+h (dependant on wrapping) and even more in wet conditions (48+ h). Egg numbers were also reduced by as much as 99.1% on wrapped samples compared to unwrapped. These new findings highlight the importance of applying adjustments to minPMI calculations when encountering wrapped remains. Advances in the accuracy of minPMI calculations will prevent the waste of valuable police time and resources and better focus the search for witnesses and suspects in homicide investigations.
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