Pigolkin Iu I, Dubrovina I A, Dubrovin I A
Sud Med Ekspert. 2012 Jul-Aug;55(4):10-3.
The mechanisms of liver damage associated with the blunt abdominal trauma are considered based on the analysis of the literature publications. The general characteristic of these mechanisms and the processes underlying the development of liver injuries is presented. It is argued that the mechanisms underlying the formation of damages to the liver differ depending on the form of the traumatic impact, the injurious factor, and the processes leading to the destruction of the hepatic tissue. The main forms of traumatic impact in the case of a blunt abdominal trauma include the strike (blow), pressure, and concussion of the organ while the major traumatic factors are deformation, displacement, and "shock-resistant effects". The mechanisms underlying tissue destruction are compression and stretching. These two mechanisms are responsible for the formation of different variants of liver destruction. The results of the study suggest the necessity of the search for other mechanisms of degradation of the hepatic tissue following a blunt abdominal trauma for the improvement of forensic medical diagnostics of its cause and the underlying mechanism.
基于对文献出版物的分析，探讨了与钝性腹部创伤相关的肝损伤机制。介绍了这些机制的一般特征以及肝损伤发生过程的潜在机制。有人认为，肝损伤形成的机制因创伤冲击形式、损伤因素以及导致肝组织破坏的过程而异。钝性腹部创伤时创伤冲击的主要形式包括器官的撞击（打击）、压迫和震荡，而主要创伤因素是变形、移位和“抗冲击效应”。组织破坏的机制是压缩和拉伸。这两种机制导致了肝破坏的不同形式。研究结果表明，有必要寻找钝性腹部创伤后肝组织降解的其他机制，以改进对其原因和潜在机制的法医诊断。
