Miyaishi S, Yoshitome K, Yamamoto Y, Naka T, Ishizu H
Department of Legal Medicine, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, 700-8558 Okayama, Japan.
Int J Legal Med. 2004 Apr;118(2):106-10. doi: 10.1007/s00414-003-0423-2. Epub 2004 Jan 14.
We presented an unusual case of negligent homicide by thorax compression, which is the expanded concept of traumatic asphyxia. A 58-year-old man was restrained in the prone position by six prison officers. They were ordered by their superiors to continue restraining him for about 15 min and the victim died. At the forensic autopsy, typical findings of thorax compression with intramuscular hemorrhages on the back and multiple fractures of the ribs were observed. No evidence of neck compression/smothering or other fatal issues likely to occur by chest compression was found. The reconstruction of the scene corresponded exactly with the localization of the injuries found in the victim. This is the first case of death by pure thorax compression without other fatal factors during intentional restraint, in which the force causing the chest compression was distinctly determined by the autopsy and reconstruction.
我们报告了一例因胸部挤压导致的过失杀人罕见案例，这是创伤性窒息概念的扩展。一名58岁男子被六名狱警以俯卧姿势约束。他们的上级命令他们继续约束他约15分钟，结果受害者死亡。法医尸检时，观察到背部肌肉内出血的典型胸部挤压表现以及多根肋骨骨折。未发现颈部受压/窒息或胸部挤压可能导致的其他致命问题的证据。现场重建与受害者身上发现的损伤部位完全相符。这是第一例在故意约束期间因单纯胸部挤压且无其他致命因素导致死亡的案例，其中导致胸部挤压的力量通过尸检和重建得以明确确定。
