Kurihara Katsuyoshi
Department of Legal Medicine, Kitasato University School of Medicine, 228-8555 Kanagawa, Japan.
Nihon Hoigaku Zasshi. 2005 Oct;59(2):105-10.
We actively examine the causes of non-criminal unnatural deaths here at the Department of Legal Medicine in Kitasato University School of Medicine. We dealt with 3565 cases of unnatural deaths during the ten years from 1994 to 2003 (postmortem examinations, 1741 cases; consented autopsies, 1824 cases; autopsy rate, 51.2%).
deaths by diseases, 2291 cases (64.3%); deaths from external causes or others, 1274 cases (35.7%). The autopsy rate of deaths by diseases is 60.7% and that of deaths from external causes or others is 34.0%. Cardiopulmonary arrest on arrival (CPAOA) accounts for about half of total cases (50.8%), that is 1811 cases. Especially, consented autopsies in cases of non-criminal unnatural deaths performed under the permission (autopsy consent) of the bereaved family are highly significant, since they can contribute to society as greatly as judicial appraisal, and can also contribute to undergraduate and postgraduate medical education. Consented autopsy is a procedure that enhances people's recognition of legal medicine in the society and universities. We expect that other universities will establish their own methods of medicolegal activities in the future by referring to our Kitasato University system as a model.
我们在北里大学医学院法医学系积极调查非刑事非自然死亡的原因。在1994年至2003年的十年间，我们处理了3565例非自然死亡案件（尸体解剖检查1741例；同意尸检1824例；尸检率51.2%）。
疾病导致的死亡2291例（64.3%）；外部原因或其他原因导致的死亡1274例（35.7%）。疾病导致死亡的尸检率为60.7%，外部原因或其他原因导致死亡的尸检率为34.0%。到达时心肺骤停（CPAOA）约占总病例的一半（50.8%），即1811例。特别是，在死者家属同意（尸检同意）的情况下进行的非刑事非自然死亡案件的同意尸检非常重要，因为它们对社会的贡献与司法鉴定一样大，也有助于本科和研究生医学教育。同意尸检是一种提高人们在社会和大学中对法医学认识的程序。我们期望其他大学将来能以我们北里大学的系统为模式，建立自己的法医学活动方法。
