尸检时对瘀伤的解读。
Interpreting bruises at necropsy.
作者信息
Vanezis P
机构信息
Department of Forensic Medicine and Science, University of Glasgow, Glasgow G12 8QQ, UK.
出版信息
J Clin Pathol. 2001 May;54(5):348-55. doi: 10.1136/jcp.54.5.348.
Abstract
The accurate interpretation of bruising at necropsy is essential to understanding how a victim has been injured and assists the pathologist in a reliable reconstruction of the events leading to death. It is essential not only to assess the mechanism of production of a bruise, taking into account the type of impacting surface and the magnitude of force used, but also to estimate when the injury was caused. An account is given of the various methods used in the examination of bruises, particularly with respect to aging, as well as the factors that may affect their appearance. Differentiation from artefacts resulting from postmortem changes is also discussed in some detail.
摘要
尸检时对瘀伤的准确解读对于理解受害者的受伤方式至关重要，有助于病理学家可靠地重建导致死亡的事件过程。不仅要考虑撞击表面的类型和所用力量的大小来评估瘀伤的形成机制，还必须估计损伤是何时造成的。本文介绍了检查瘀伤时所采用的各种方法，特别是关于瘀伤老化方面的方法，以及可能影响其外观的因素。还详细讨论了如何与死后变化产生的假象进行区分。
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本文引用的文献
1
THE COLOR OF THE SKIN AS ANALYZED BY SPECTROPHO-TOMETRIC METHODS: I. Apparatus and Procedures.用分光光度法分析皮肤颜色：I. 仪器与步骤
J Clin Invest. 1929 Oct;7(4):559-74. doi: 10.1172/JCI100243.
2
Post-mortem dissection artifacts of the neck; their differentiation from ante-mortem bruises.
S Afr Med J. 1951 May 26;25(21):358-61.
3
[ON THE DIFFERENTIATION OF VITAL FROM AGONAL AND POSTMORTAL BLEEDING].
Acta Med Leg Soc (Liege). 1964 Jan-Mar;17:43-6.
4
Bruised tissue. I. Biochemical changes resulting from blunt injury.
Proc Soc Exp Biol Med. 1957 Jun;95(2):255-8. doi: 10.3181/00379727-95-23185.
5
Evaluation of hypostasis using a colorimeter measuring system and its application to assessment of the post-mortem interval (time of death).使用色度计测量系统评估尸斑及其在死后间隔时间（死亡时间）评估中的应用。
Forensic Sci Int. 1996 Mar 5;78(1):19-28. doi: 10.1016/0379-0738(95)01845-x.
6
Photometric assessment of skin colour and lightness using a tristimulus colorimeter: reliability of inter and intra-investigator observations in healthy adult volunteers.使用三色刺激色度计对皮肤颜色和亮度进行光度评估：健康成年志愿者中研究者间和研究者内观察结果的可靠性
Forensic Sci Int. 1996 Jul 31;81(1):1-10. doi: 10.1016/0379-0738(96)01939-1.
7
Morphometrical analysis of hemosiderin deposits in relation to wound age.与伤口年龄相关的含铁血黄素沉积的形态计量学分析。
Int J Legal Med. 1996;108(5):262-4. doi: 10.1007/BF01369823.
8
Differentiation between bruises and putrefactive discolorations of the skin by immunological analysis of glycophorin A.通过血型糖蛋白A的免疫分析鉴别皮肤瘀伤和腐败变色
Forensic Sci Int. 1993 Oct;61(2-3):111-7. doi: 10.1016/0379-0738(93)90219-z.
9
Use of alternative light source illumination in bite mark photography.
J Forensic Sci. 1994 May;39(3):815-23.
10
Immunohistochemical studies on fibrin in vital and postmortem subcutaneous haemorrhages.
Ann Acad Sci Fenn A. 1967;128:1-85.
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