Lötterle J, von der Lippe I, Werr H
Institut für Rechtsmedizin, Friedrich-Alexander-Universität Erlangen-Nürnberg.
Beitr Gerichtl Med. 1991;49:39-43.
Of 91 unselected forensic autopsy cases then lateral muscles of both eyes were prepared in stepped sections and examined for microscopical haemorrhages. During autopsy we payed attention to macroscopical haemorrhages. Microscopical haemorrhages were found in 12 cases mainly in suffication processes as in two cases of fulminant pulmonary embolism. In five of the examined cases we also found macroscopical hemorrhage, mainly with strangulation. According to our results till now, haemorrhage in ocular muscles are seen in the process of aspyxia; if this is protracted as in manual strangulation or strangulation by ligature, macroscopical haemorrhage may occur.
在91例未经挑选的法医尸检案例中,对双眼的外侧肌肉进行阶梯状切片制备,并检查是否存在显微镜下出血。尸检过程中,我们留意了肉眼可见的出血情况。在12例案例中发现了显微镜下出血,主要出现在窒息过程中,如两例暴发性肺栓塞病例。在5例受检案例中,我们还发现了肉眼可见的出血,主要与勒颈有关。根据我们目前的结果,眼肌出血见于窒息过程;如果窒息过程持续时间较长,如手动勒颈或用绳索勒颈,可能会出现肉眼可见的出血。