Schmidt Peter H, Padosch Stephan A, Madea Burkhard
Institut für Rechtsmedizin der Universität Bonn.
Arch Kriminol. 2003 Nov-Dec;212(5-6):165-75.
A case of homicide involving a 49-year-old man is reported. In the course of a booze-up he was forced to excessive consumption of alcohol and was pushed back into a sofa by repeated grasping his neck which finally left him dead. The postmortem examination revealed a small abrasion in the right mandibular region, a contusion of the subcutaneous tissue above the left clavicle, a haemorrhage in the deep muscles of the neck at the right side of the cervical spine, a fatty tissue haemorrhage between the left cornus of hyoid and thyroid cartilage as well as petechiae of the eyelids and conjunctivae. The blood alcohol concentration amounted to 4.00@1000, the urine alcohol concentration to 5.26@1000. Thus, a manual strangulation of the neck versus a lethal alcohol intoxication had to be taken into consideration as cause of death. The morphological findings of the postmortem examination and the pathophysiological concepts of the underlying mechanisms of death in manual strangulation versus lethal alcohol intoxication are discussed with regard to their significance for the juridical assessment.
报道了一起涉及一名49岁男子的杀人案件。在一次酒宴过程中，他被迫过量饮酒，随后被反复掐住脖子并推回到沙发上，最终导致死亡。尸检显示右下颌区域有一处小擦伤，左锁骨上方皮下组织有挫伤，颈椎右侧颈部深层肌肉有出血，舌骨左角与甲状软骨之间有脂肪组织出血，以及眼睑和结膜有瘀点。血液酒精浓度为4.00‰，尿液酒精浓度为5.26‰。因此，必须考虑颈部手动勒杀与致命酒精中毒作为死因。结合其对司法评估的意义，讨论了尸检的形态学发现以及手动勒杀与致命酒精中毒死亡潜在机制的病理生理概念。
