Załuski Janusz, Okłota Magdalena, Janica Jerzy, Dopierała Tomasz, Niemcunowicz-Janica Anna, Stepniewski Wojciech, Szeremeta Michał, Ptaszyńska-Sarosiek Iwona
Zakład Medycyny Sadowej Akademii Medycznej w Białymstoku, ul. Kilińskiego 1, 15-230 Białystok.
Ann Acad Med Stetin. 2007;53 Suppl 2:80-4; discussion 84-5.
In the years 1980-2000 a total of 302 cases of suicidal hanging were analysed at the Department of Forensic Medicine, Medical University of Białystok. In 140 cases (46.36%) the knot was situated on the neck. In 131 corpses 206 intravital reactions were revealed. Descending incidence of the reactions was as follows: petechial subcutaneous facial and palpebre hemorrhages (33.5%), hemorrhages of muscules sternocleidomustoideus (18.4%), hemorrhages within ligature furrow (11.6%), vertebral cervical fracture (0.7%). In overall material 71.8% were sober persons presenting intravital reactions of the cervical organs to ligature. During autopsy examination skin sections were excised from ligature furrow, muscules sternocleidomustoideus and the carotid artery and then stained with hematoxilin-eosin, orcein, Fuller staining and alcian blue. The carotid artery sections were examined in scanning electron microscope. Macroscopically revealed intravital reactions were fully confirmable by scanning electron microscopic examination. Furthermore, in cases with negative macroscopic image lesions of the common carotid arteries were detected.
1980年至2000年间，比亚韦斯托克医科大学法医学系共分析了302例自杀缢死案例。其中140例（46.36%）绳结位于颈部。在131具尸体上发现了206种生前反应。这些反应的发生率由高到低如下：面部和眼睑皮下瘀点出血（33.5%）、胸锁乳突肌出血（18.4%）、缢沟内出血（11.6%）、颈椎骨折（0.7%）。在全部案例中，71.8%为清醒者，其颈部器官对绳索有生前反应。尸检时，从缢沟、胸锁乳突肌和颈动脉处切取皮肤切片，然后用苏木精-伊红、orcein、富勒染色和阿尔辛蓝染色。对颈动脉切片进行扫描电子显微镜检查。肉眼观察到的生前反应通过扫描电子显微镜检查得到了充分证实。此外，在肉眼图像阴性的案例中，发现了颈总动脉的病变。
