在评估扼颈幸存者的生命危险方面，颈部磁共振成像（MRI）能否与临床检查结果相媲美？一项统计分析。
Can MRI of the neck compete with clinical findings in assessing danger to life for survivors of manual strangulation? A statistical analysis.
作者信息
Christe Andreas, Oesterhelweg Lars, Ross Steffen, Spendlove Danny, Bolliger Stephan, Vock Peter, Thali Michael J
机构信息
Department of Radiology, Inselspital, University Hospital of Bern, Freiburgstrasse, 3010 Bern, Switzerland.
出版信息
Leg Med (Tokyo). 2010 Sep;12(5):228-32. doi: 10.1016/j.legalmed.2010.05.004. Epub 2010 Jul 13.
OBJECTIVE
The aim of the study was to examine the clinical forensic findings of strangulation according to their ability to differentiate between life-threatening and non-life-threatening strangulation, compare clinical and MRI findings of the neck and discuss a simple score for life-threatening strangulation (SLS).
MATERIALS AND METHODS
Forensic pathologists classified a continuous sample of 56 survivors of strangulation into life-threatening cases by clinical history and examination alone. Subjective, objective and radiological signs were evaluated for discriminating the two groups.
RESULTS
In 27% of the cases life was in danger. The most significant signs of danger to life were congestive petechial hemorrhage in the face (eyes); hematoma of the neck and loss of consciousness. The radiological score could compete with the clinical scores.
CONCLUSION
Clinical forensic findings differ significantly in non-life-threatening and life-threatening manual strangulation. Thanks to MRI a rather objective test for life-threatening strangulation can be added to a SLS.
目的
本研究旨在根据勒颈的临床法医检查结果区分危及生命和非危及生命的勒颈情况，比较颈部的临床和MRI检查结果，并探讨一种用于危及生命的勒颈情况的简易评分（SLS）。
材料与方法
法医病理学家仅根据临床病史和检查将连续的56例勒颈幸存者样本分类为危及生命的病例。评估主观、客观和放射学体征以区分两组。
结果
27%的病例生命处于危险中。对生命构成最大危险的体征是面部（眼睛）充血性瘀点出血；颈部血肿和意识丧失。放射学评分可与临床评分相媲美。
结论
非危及生命和危及生命的手动勒颈的临床法医检查结果有显著差异。借助MRI，可将一种针对危及生命的勒颈情况的较为客观的检查添加到SLS中。
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