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[高原低温致死的法医学问题]

[Forensic medicine aspects of death caused by hypothermia in high altitude].

作者信息

Tributsch W, Ambach E, Henn R

机构信息

Institut für Gerichtliche Medizin, Universität Innsbruck.

出版信息

Beitr Gerichtl Med. 1992;50:337-41.

PMID:1489347
Abstract

Macro- and micromorphological findings in cases of death from hypothermia are very questionable and unreliable diagnostical signs. We investigated 42 cases of death from hypothermia that occurred in mountain-ranges between 1974 and 1990. All cases showed erosions of the gastric mucosa ("Wischnewsky-spots"), in one case only we found bleedings in the ileopsoas muscles. In most cases hypothermia was based on natural disease or intoxication. Nine alcoholized persons showed a mean alcohol concentration in the blood of 1.07% and in accordance to a relatively long agonal period the alcohol concentration in urine was considerably higher.

摘要

低温致死病例中的大体和微观形态学发现是非常可疑且不可靠的诊断体征。我们调查了1974年至1990年间发生在山区的42例低温致死病例。所有病例均显示胃黏膜糜烂(“维什涅夫斯基斑”),仅在1例中我们发现髂腰肌有出血。在大多数情况下,低温是由自然疾病或中毒引起的。9名酗酒者血液中的酒精平均浓度为1.07%,并且由于临死前的时期相对较长,尿液中的酒精浓度要高得多。

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