Bohnert Michael, Ropohl Dirk, Pollak Stefan
Institut für Rechtsmedizin der Universität Freiburg i. Br.
Arch Kriminol. 2002 May-Jun;209(5-6):158-64.
In the forensic literature the opinion is often held that the presence of aqueous liquid in the paranasal sinuses in conjunction with other findings (plume of froth around the mouth and nostrils, emphysema aquosum, Paltauf's spots, increased haemolysis etc.) can be regarded as a sign of drowning. Especially the sphenoid sinus is easily accessible at autopsy; its content can be aspirated from the base of the skull with a cannula. The valency of the liquid content in the sphenoid sinuses was consecutively investigated in 60 deaths by drowning and 157 other deaths. The results showed that in 92% of the deaths by drowning between 1 ml and 4 ml of aqueous fluid could be found in the sphenoid sinuses. However, a positive result was also obtained in 52% of the other cases autopsied, but in the control group the average volume of the aspirate was smaller than in the group of deaths by drowning.
在法医学文献中，人们常常认为，鼻窦中存在水性液体并伴有其他发现（口和鼻孔周围有泡沫、水性肺气肿、帕尔陶夫斑、溶血增加等）可被视为溺水的迹象。尤其是在尸检时蝶窦很容易触及；其内容物可用套管从颅底吸出。连续对60例溺水死亡病例和157例其他死亡病例的蝶窦内液体含量进行了研究。结果显示，92%的溺水死亡病例蝶窦内可发现1毫升至4毫升的水性液体。然而，在其他尸检病例中，52%也得到了阳性结果，但对照组吸出物的平均量小于溺水死亡组。
