Miyazaki Tetsuji, Ihama Yoko, Fuke Chiaki
Department of Legal Medicine, School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
Leg Med (Tokyo). 2008 Sep;10(5):264-7. doi: 10.1016/j.legalmed.2008.01.005. Epub 2008 Mar 10.
A motor scooter carrying two 15-year-old boys collided with the back of an open, parked truck. The tailgate of the truck was down and in a horizontal position. At the autopsy of the driver, horizontal tramline bruises were found on the anterior chest, but the thoracic cage was intact. There was a transverse tear of the ascending aorta with adventitial hematoma, but significant bleeding was not found in the pericardial sac or the thoracic cavities. Therefore, it was obvious that cardiovascular collapse occurred immediately after the accident. Neither injuries nor diseases that would cause the instantaneous death were found on examination of the whole body. We determined that the driver died of commotio cordis due to blunt force to the anterior chest.
一辆载着两名15岁男孩的小型摩托车与一辆停着的敞篷卡车后部相撞。卡车的后挡板放下并处于水平位置。在对司机的尸检中，前胸发现了水平的铁轨样瘀伤，但胸廓完好无损。升主动脉有横向撕裂并伴有外膜血肿，但心包囊或胸腔内未发现大量出血。因此，很明显事故发生后立即出现了心血管衰竭。全身检查未发现会导致猝死的损伤或疾病。我们确定司机死于前胸钝性撞击导致的心脏震荡。
