Furumiya Junichi, Nishimura Hiroyuki, Nakanishi Akinori, Hashimoto Yoshiaki
Department of Legal Medicine, Kochi Medical School, Kochi University, Kohasu, Oko-cho, Nankoku City, Kochi 783-8505, Japan.
Leg Med (Tokyo). 2009 Apr;11 Suppl 1:S553-4. doi: 10.1016/j.legalmed.2009.01.040. Epub 2009 Mar 19.
We report an autopsy case of a pedestrian victim of car traffic accident with the chin-sternum-heart syndrome type of injury. A drunken man who lay on the road was run over by a car. He died immediately at the scene. The autopsy findings were as follows: large scalp lacerations, abrasions in the chin and the sternal region, a transverse fracture of the sternum, ruptures of the heart, ruptures of the ascending and descending aortae, rupture and hemorrhage of the nuchal muscle, ring fracture of the base of the skull, subarachnoid hemorrhage at the base of the brain, multiple rib fractures, anterior compression fracture of the 11th thoracic vertebra, and small lacerations of the liver. Blood ethanol level was 2.92 mg/g. These findings indicate that there was hyperflexion of the neck and then the victim's heart was strongly compressed and ruptured by the collision of the chin with the sternal region of the chest.
我们报告一例因车祸导致的行人下巴-胸骨-心脏综合征损伤的尸检病例。一名躺在路上的醉酒男子被一辆汽车碾压。他在现场立即死亡。尸检结果如下：头皮大面积裂伤，下巴和胸骨区域擦伤，胸骨横断骨折，心脏破裂，升主动脉和降主动脉破裂，颈部肌肉断裂和出血，颅底环形骨折，脑底部蛛网膜下腔出血，多根肋骨骨折，第11胸椎前压缩性骨折，肝脏小裂伤。血液乙醇水平为2.92mg/g。这些发现表明，颈部过度屈曲，随后受害者的心脏因下巴与胸部胸骨区域的碰撞而受到强烈挤压并破裂。
