Zhang Yi-jun, Jing Hua-lan, Jiang Fu-xue
Department of Forensic Pathology, School of Preclinical Medicine, Sun Yat-sen University, Guangzhou 510080, China.
Fa Yi Xue Za Zhi. 2006 Dec;22(6):451-4.
Positional asphyxia of restraint means that when an individual was limited in an abnormal body position, asphyxia would take place owing to the disorder of spontaneous respiratory function, and finally it lead to die. So, it belongs to a special type of the mechanical asphyxia. From the cases reported, we could found that it would take place in several conditions. Because the cases were not caused enough recognition, the study has been researched carefully only in recent years. Following the more cases reported, many experts of forensic medicine had investigated it on the mechanism of death and the standard of identification, but they could not reach to agreements. So, they have changed the directions of the researches, began to value the factors of risk and research how to avoid it. In the following text, the mechanism of death, factors of risk, preventive methods, standard of identification and prospecting of positional asphyxia of restraint were reviewed.
约束性体位窒息是指个体处于异常体位受到限制时,由于自主呼吸功能紊乱而发生窒息,最终导致死亡。因此,它属于机械性窒息的一种特殊类型。从已报道的案例来看,我们发现它可在多种情况下发生。由于这些案例未得到足够重视,近年来才开始对此进行深入研究。随着报道的案例增多,许多法医学专家对其死亡机制和鉴定标准进行了研究,但尚未达成共识。于是,他们改变了研究方向,开始重视危险因素并研究如何避免。下文将对约束性体位窒息的死亡机制、危险因素、预防方法、鉴定标准及展望进行综述。