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[574例高处坠落死亡病例分析]

[Analysis of 574 cases of high-fall death].

作者信息

Mao Shi-Wei, Liu Xi-Jie, Su Chang-Pei, Zhang Min, Mu Zhi-Qiang, Xu Xiao-Long, Wang Zhen-Yuan

机构信息

Department of Forensic Medicine, Medical College, Xi'an Jiaotong University, Xi'an 710061, China.

出版信息

Fa Yi Xue Za Zhi. 2009 Aug;25(4):276-8.

PMID:19788078
Abstract

OBJECTIVE

To establish a database of high-fall death cases for future forensic study and practice, based on the scene investigation, injury characteristics and other informations.

METHODS

Five hundred and four cases of high-fall death from 5 provinces and cities were included in the study. Data including personal information of the deceased, scene investigation, autopsy findings, history of mental illness and the results of toxicology were collected and analyzed.

RESULTS

The male accidental death rate was significantly higher than that of female. No case of suicide was found in the 0-10 age group, while the suicide rate was apparently higher in the 60 years or over age group than that of accident. Most of the accident cases occurred at workplace, with head landing first and foot or lower-extremity landing first observed from height below 10 m and between 10-25 m, respectively.

CONCLUSION

The majority of cases have obvious conclusions. A substantial set of the cases, however, is still difficult to determine the mechanism of injury and the manner of death. So further study should be performed.

摘要

目的

基于现场勘查、损伤特征及其他信息,建立高空坠落死亡案例数据库,以供未来法医学研究与实践使用。

方法

本研究纳入了来自5个省市的504例高空坠落死亡案例。收集并分析了包括死者个人信息、现场勘查、尸检结果、精神病史及毒理学结果等数据。

结果

男性意外死亡率显著高于女性。0至10岁年龄组未发现自杀案例,而60岁及以上年龄组的自杀率明显高于意外死亡率。大多数意外案例发生在工作场所,从低于10米和10至25米高度坠落时,分别以头部先着地和足部或下肢先着地最为常见。

结论

大多数案例有明确结论。然而,仍有相当一部分案例难以确定损伤机制和死亡方式。因此,应进一步开展研究。

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