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[因软组织出血导致失血性死亡,作为受虐儿童的死因]

[Bleeding to death because of hemorrhage into soft tissues as a cause of death in a beaten battered child].

作者信息

Cukić Dragana

机构信息

Klinicki centar Crne Gore, Medicinski fakultet, Odjeljenje za sudsku medicinu, Podgorica, Crna Gora.

出版信息

Vojnosanit Pregl. 2011 Dec;68(12):1075-8. doi: 10.2298/vsp1112075c.

Abstract

INTRODUCTION

Bleeding to death is one of the leading causes of death speaking about violent death in general. Bleeding to death mostly happens through hurt organs or blood vessels of thorax, abdomen and neck or because of destruction of extremities or the whole body. Bleeding to death is very often the consequence of blood pouring, rarely of simultaneous pouring and suffusing of blood, and it is extremely rarely the result of blood suffusing solely and especially due to subcutaneous, retoperitoneal and intramediastinal blood suffusing. Fatal bleeding into soft tissues solely is very rare. During a 10-year-period among 3 000 performed autopsies in the Department of Forensic Medicine in Podgorica, the presented case was the unique one.

CASE REPORT

The paper presents a 5-year-old boy who was beaten to death by his mother and step-father and died because of massive bleeding into soft tissues.

CONCLUSION

In order to establish a cause of death in cases of exsanguination in soft tissues, a series of postmortem diagnostic procedures should be performed, like those presented in this paper.

摘要

引言

一般而言,在暴力死亡原因中,出血致死是主要原因之一。出血致死大多是由于胸部、腹部和颈部的器官或血管受伤,或者是由于肢体或全身的毁损。出血致死往往是血液外渗的结果,很少是血液同时外渗和弥漫的结果,而仅仅是血液弥漫尤其是皮下、腹膜后和纵隔内血液弥漫导致的情况极为罕见。仅软组织内致命性出血非常罕见。在波德戈里察法医学系进行的3000例尸检的10年期间,本病例是唯一的一例。

病例报告

本文介绍了一名5岁男孩,他被母亲和继父殴打致死,死于软组织大量出血。

结论

为了确定软组织失血案件的死因,应进行一系列尸检诊断程序,如本文所述。

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