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临床法医学中的锐器伤——受害者与行凶者的调查结果

Sharp force injuries in clinical forensic medicine--findings in victims and perpetrators.

作者信息

Schmidt Ulrike, Pollak Stefan

机构信息

Institute of Legal Medicine, University Hospital of Freiburg, Albertstrasse 9, D-79104 Freiburg, Germany.

出版信息

Forensic Sci Int. 2006 Jun 2;159(2-3):113-8. doi: 10.1016/j.forsciint.2005.07.003. Epub 2005 Sep 2.

DOI:10.1016/j.forsciint.2005.07.003
PMID:16140486
Abstract

The injury findings in 58 perpetrators and 158 victims surviving bodily injuries due to sharp force are presented here. Defence injuries were found in 45.9% of the victims without any significant differences between males and females. There was no clear predominance of defence injuries on the left forearm and hand, as is known from autopsy studies; the right and the left hands were affected with an almost identical frequency. Regarding other parts of the victims' bodies, the topographic distribution of injuries showed a marked concentration on the left side (63.7%). The thorax, head and neck were frequently affected (45.9%, 15.3% and 15.3%, respectively), and less often the abdomen (11.1%), the lumbar and gluteal region (6.3%) and the lower extremities (6.1%). In surviving victims with only one singular stab apart from the upper limbs, the incidence of additional defence injuries on the hands and/or forearms was significantly higher (28.3%) than in fatalities. When the perpetrators had unintentionally cut their own hands, the frequency of these injuries on the right and left hands was almost equal.

摘要

本文呈现了58名因锐器致身体受伤的行凶者以及158名受伤后幸存的受害者的损伤情况。45.9%的受害者身上发现有防御伤,男性和女性之间无显著差异。与尸检研究中所知的情况不同,左前臂和手部并未明显更易出现防御伤;右手和左手受到影响的频率几乎相同。关于受害者身体的其他部位,损伤的地形分布显示明显集中在左侧(63.7%)。胸部、头部和颈部经常受到影响(分别为45.9%、15.3%和15.3%),而腹部(11.1%)、腰部和臀部区域(6.3%)以及下肢(6.1%)较少受到影响。在除上肢外仅有一处单一刺伤的幸存受害者中,手部和/或前臂出现额外防御伤的发生率(28.3%)显著高于死亡者。当行凶者意外割伤自己的手时,右手和左手这些损伤的频率几乎相等。

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