Nedugov G V
Sud Med Ekspert. 2008 Sep-Oct;51(5):18-21.
The objective of the study was to evaluate the clinical condition of a subject with fatal traumatic subdural hematomas (SH) with special reference to such factors as the patient's age, the presence of concomitant intracranial injuries (ICI), and the total volume of hematomas. The study allowed to determine the length of the period during which persons with isolated subdural hematomas or hematomas associated with subarachnoidal hemorrhages (SAH) and brain contusion (BC) are still capable of active actions. Distributions of the duration of lethal traumatic compression of the brain were revealed and analytically described in case of secondary intrastem hemorrhage (ISH) and in its absence. A method is proposed in which the presence of ISH is used as a basic characteristic for the objective estimation of the length of the integral terminal interval during which the patient is still able to act. The results of the study may find practical application for the purpose of forensic medical examination of craniocerebral injuries with SH.
本研究的目的是评估患有致命性创伤性硬膜下血肿（SH）患者的临床状况，并特别参考患者年龄、合并颅内损伤（ICI）的存在情况以及血肿总体积等因素。该研究有助于确定孤立性硬膜下血肿或与蛛网膜下腔出血（SAH）及脑挫伤（BC）相关的血肿患者仍能进行主动活动的时间段长度。揭示并分析描述了在继发性脑干内出血（ISH）存在和不存在的情况下，致命性脑创伤压迫持续时间的分布情况。提出了一种方法，其中ISH的存在被用作客观估计患者仍能行动的整体终末间隔长度的基本特征。该研究结果可能会在伴有SH的颅脑损伤法医检验中得到实际应用。
