Thiele K H, Hofmann V
Institut für Gerichtliche Medizin Chemnitz.
Beitr Gerichtl Med. 1991;49:275-9.
Resulting from a historical study of the so-called bolus death (choking) an 8-years analysis of 11 bolus cases is presented, the autopsies of which were carried out at the Institute of Forensic Medicine Chemnitz. External conditions, autopsy findings, and accompanying investigations carried out are considered. In five cases a bolus was found in the pharynx, just in front of the larynx entrance, and three times each in the larynx, causing the blockade of the larynx entrance, and in the trachea. A correlation between the localisation of the foreign substance and the presence respectively expression degree of the macromorphological signs of asphyxia was not evident. In conclusion a discussion to differentiate reflex mechanisms from asphyxia mechanisms following foreign substance aspiration is given.
通过对所谓的食团致死（窒息）进行历史研究，呈现了对11例食团病例的8年分析，这些病例的尸检在开姆尼茨法医学研究所进行。考虑了外部情况、尸检结果以及所进行的相关调查。在5例病例中，在喉入口前方的咽部发现了食团，在喉部和气管中各发现3次，导致喉入口堵塞。异物位置与窒息大体形态学征象的存在及表达程度之间没有明显关联。最后，对区分异物吸入后反射机制与窒息机制进行了讨论。
