Bockholdt Britta, Maxeiner H
Department of Forensic Medicine, University Hospital Benjamin Franklin, Free University of Berlin, Hittorfstr 18, D-14195 Berlin, Germany.
Forensic Sci Int. 2002 May 23;126(3):214-20. doi: 10.1016/s0379-0738(02)00060-9.
Hemorrhages of the tongue can be useful for the diagnosis in cases of lethal neck compression. The reported frequencies of tongue bleedings in the literature in cases of suicidal hanging range from 0 to 14% and in homicidal strangulation (str.) from 5 to 37%. This study gives a summary of the incidence and intensity of tongue bleedings in cases of homicidal str. by ligature, manual str., suicidal str. by ligature and suicidal hanging. In 25% of all homicides significant or massive hemorrhages of the tongue were detected. In contrast to this, in suicidal hanging the tongue was unaffected in 95%. The causes of massive hemorrhages here (2%) could be explained by an "abnormal" position of the loop.
舌部出血对致命性颈部受压病例的诊断可能有帮助。文献报道中,自杀性缢吊病例的舌部出血发生率为0%至14%,他杀勒颈病例的发生率为5%至37%。本研究总结了他杀勒颈(包括勒绳、徒手勒颈)、自杀性勒绳和自杀性缢吊病例中舌部出血的发生率及严重程度。在所有他杀病例中,25%检测到舌部有明显或大量出血。与此形成对比的是,在自杀性缢吊病例中,95%的舌部未受影响。此处2%的大量出血原因可由绳套的“异常”位置来解释。