Bloch-Bogusławska Elzbieta, Wolska Ewa, Bednarek Jarosław
Katedry Medycyny Sadowej UMK w Toruniu, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy.
Arch Med Sadowej Kryminol. 2008 Oct-Dec;58(4):221-3.
The authors draw attention to the importance of X-ray examinations in craniocerebral gunshot injuries. A life-saving neurosurgical operation of a victim resulted in changes occurring not only in the soft tissue, but also in the bony structures of the cranium, which practically rendered impossible any assessment of and differentiation between the location of entrance and exit wounds during autopsy. The assessment of preoperative head X-ray demonstrated the presence of characteristic crater-like bone defects, what allowed for determining the location of the entrance and exit wounds. The medico-legal examination of bone defects indicated that the entrance wound was situated on the left side, contrary to information provided by hospital medical records.
作者提请注意X线检查在颅脑枪伤中的重要性。一名受害者的救命神经外科手术不仅导致软组织发生变化,还导致颅骨骨质结构发生变化,这实际上使得在尸检时几乎无法评估和区分入口伤和出口伤的位置。术前头部X线检查显示存在特征性的火山口状骨缺损,这使得能够确定入口伤和出口伤的位置。对骨缺损的法医检查表明,入口伤位于左侧,这与医院病历提供的信息相反。