在法医病理学中,因机械伤害而死亡(钝器,锋利,和枪声)需要进行尸检,以便通过对内脏的详细检查来确定死亡的原因和方式,软组织,和骨骼系统。有时候,例如在严重腐败的情况下,只有骨架是可观察的。在这种情况下,没有骨骼缺陷并不意味着不应该考虑与创伤相关的死亡:然而,致命的机械死亡多久会在骨骼系统中产生缺陷?本研究涉及对尸检报告的回顾性审查,以调查暴力死亡病例中软组织和相关骨骼损伤的频率。共有200份尸检报告,包括锐器伤(n=50)在内的四种损伤机制,枪声(n=50),钝器外伤(n=50),检查机械性窒息(n=50)。死亡的方式,骨折的定位,报告了外部损伤和骨折之间的对应关系。评估每个创伤组的骨折频率和与软组织损伤的对应程度。结果表明,致命的钝性创伤总是导致骨折;94.0%的枪伤暴力死亡涉及骨骼;48.0%的锐力软组织损伤涉及骨组织;20.0%的机械性窒息病例观察到舌骨骨折。
In forensic pathology, deaths due to mechanical injuries (blunt, sharp, and gunshot) require an autopsy in order to determine the cause and manner of death through a detailed examination of viscera, soft tissues, and the skeletal system. Sometimes, such as in cases of severe putrefaction, only the skeleton is observable. In such cases, the absence of bony defects does not mean that a trauma-related death should not be considered: yet, how often will a lethal mechanical death produce a defect in the skeletal system? The present
study involved a retrospective review of autopsy reports to investigate the frequencies of soft tissue and related skeletal injuries in cases of violent deaths. A total of 200 autopsy reports for cases of four mechanisms of injury including sharp force trauma (n = 50), gunshot (n = 50), blunt force trauma (n = 50), and mechanical asphyxia (n = 50) were examined. Manner of death, localization of bone fractures, and correspondence between external injuries and bone fractures were reported. Frequencies of bone fractures and degree of correspondence with soft tissue injuries for each trauma group were evaluated. The result showed that lethal blunt trauma always caused bone fractures; 94.0% of violent deaths by gunshot involved bones; 48.0% of sharp force soft tissue injuries involved the bone tissue; and hyoid bone fractures were observed in 20.0% of cases of mechanical asphyxia.