背景:本研究旨在讨论其特征,起源,伤害程度,结果,reporting,以及腹部穿透性损伤的法医学方面。
方法:在本研究中,对2016年1月1日至2020年12月31日期间向Kutahya健康科学大学EvliyaCelebi培训研究医院急诊科申请的28,619例病例进行了审查。回顾性评估了85例腹部穿透性损伤的法医报告和医学文件,经伦理委员会批准.
结果:在纳入研究的患者中,男性占87.1%,女性占12.9%。发现平均年龄为31±13岁。当分析案件的起源时,发现87.1%是由于故意伤害而发展的。事件主要发生在20:00至04:00之间。由于事件发生后在医院进行了检查,在36.5%的病例中检测到酒精,而30.6%的人不饮酒。观察到32.9%的病例没有进行酒精测试。最常见的伤害是锐器伤,占病例的69.4%,和枪伤,占27.1%。在68.2%的病例中发现器官受损,小肠是最常受损的器官。存在的平均伤口数为3.6。61.2%的病例发现腹腔内出血,在8.2%的患者中发现腹内动脉损伤。穿透性腹部损伤的死亡率为8.2%。
结论:在法医创伤学中,穿透性腹部损伤通常会导致危及生命的疾病和器官功能丧失,代表创伤严重程度评估中最严重的类别。腹部穿透性损伤通常是由暴力事件引起的,正如在我们的研究和文献中观察到的那样。
BACKGROUND: This study aims to discuss the characteristics, origins, degree of injury, results, reporting, and forensic medical aspects of penetrating abdominal injuries.
METHODS: In this study, 28,619 cases who applied to the emergency department of Kutahya Health Sciences University Evliya Celebi Training and Research Hospital between January 1, 2016 and December 31, 2020 were reviewed. The forensic reports and medical documents of 85 cases with penetrating abdominal injuries were evaluated retrospectively, with the approval of the ethics committee.
RESULTS: Among the patients included in the study, 87.1% were male and 12.9% were female. The mean age was found to be 31±13 years. When the origins of the cases were analyzed, 87.1% were found to have developed as a result of intentional injury. The incidents predominantly occurred between 20: 00 and 04: 00 hours. As a result of the examinations performed at the hospital after the incident, alcohol was detected in 36.5% of the cases, while 30.6% of the individuals did not consume alcohol. It was observed that 32.9% of the cases were not tested for alcohol. The most common injuries identified were sharp injuries, accounting for 69.4% of cases, and firearm injuries, comprising 27.1%. Organ damage was noted in 68.2% of the cases, with the small intestine being the most frequently damaged organ. The average number of wounds present was 3.6. Intra-abdominal hemorrhage was detected in 61.2% of the cases, and intra-abdominal artery injuries were found in 8.2%. The mortality rate for penetrating abdominal injuries was 8.2%.
CONCLUSIONS: In forensic traumatology, penetrating abdominal injuries commonly lead to life-threatening conditions and loss of organ function, which represent the most severe category in trauma severity assessment. Penetrating abdominal injuries most often result from violent incidents, as observed in our study and in the literature.