Bunai Y, Nagai A, Nakamura I, Ohya I
Department of Legal Medicine, Gifu University School of Medicine, Gifu, Japan.
Am J Forensic Med Pathol. 2000 Sep;21(3):207-9. doi: 10.1097/00000433-200009000-00003.
A female driver, 24 weeks pregnant, was wearing a three-point seatbelt in the manner usual for nonpregnant women, when her automobile collided head-on with another vehicle. A cardiotocographic examination after the accident revealed the fetus to be alive. Five days after the accident, however, a cardiotocographic examination showed fetal death. At that time, a transverse ecchymotic band on the lower abdominal wall that had not been observed at the first examination was noticed. Eight days after the accident, the mother delivered a macerated female fetus. At autopsy, the baby showed no abnormality, but there was a hematoma on the placental surface toward the uterus. These results suggest that the fetus died of abruptio placentae associated with incorrect placement of the lap belt.
一名怀孕24周的女性司机，像未怀孕女性通常那样佩戴三点式安全带，此时她的汽车与另一辆车迎头相撞。事故后进行的胎心监护检查显示胎儿存活。然而，事故五天后，胎心监护检查显示胎儿死亡。当时，发现下腹壁有一条横向瘀斑带，首次检查时并未观察到。事故八天后，母亲产下一个浸软的女胎。尸检时，婴儿未显示异常，但胎盘朝向子宫的表面有一个血肿。这些结果表明，胎儿死于与安全带放置不当相关的胎盘早剥。
