Schmidt G, Kallieris D, Stosch P
Institut für Rechtsmedizin im Klinikum, Universität Heidelberg, Bundesrepublik Deutschland.
Z Rechtsmed. 1990;103(3):155-62. doi: 10.1007/BF00207337.
In order to investigate the connection between the cardiac volume and the cardiac shadow plane, 385 anterior-posterior radiographs of the thorax have been selected comparing their cardiac shadow plane with the corresponding cardiac volumes determined by the autopsy of the cadavers. The comparison showed a connection of both magnitudes by means of the formula Hvol = 0.49 x Fa x square root of Fa (Hvol = cardiac volume in cm3, Fa = cardiac shadow plane of the anterior-posterior radiograph in cm2, corrections were made from the radiation divergence). A verification of the formula showed a very high correlation (r = 0.984) in 25 cadavers to be dissected. The comparing volume of the cardiac shadow plane has been investigated by means of the water displacement method, in which the cardiac vessels were ligated and the heart taken out of the cadaver. The cardiac volume, evaluated from the cardiac shadow plane showed a significant correlation at the cardiac death by internal natural cause. The comparison of the mathematical evaluated cardiac blood volumes of the symptoms causing death showed that the cardiac blood volumes in the group of poisonings and the group of drowning, suffocations and hanging with 231 ml and 211 ml in the men collective were at the same level as the cardiac death (246 ml). About the same applied to the women collective.(ABSTRACT TRUNCATED AT 250 WORDS)
为了研究心脏容积与心脏阴影平面之间的联系,已选取385张胸部前后位X线片,将其心脏阴影平面与通过尸体解剖确定的相应心脏容积进行比较。比较结果显示,二者之间存在如下关联公式:Hvol = 0.49 x Fa x √Fa(Hvol = 心脏容积,单位为cm³;Fa = 前后位X线片的心脏阴影平面,单位为cm²,已对辐射发散进行校正)。对25具待解剖尸体进行的公式验证显示出极高的相关性(r = 0.984)。通过排水法研究了心脏阴影平面的比较容积,即结扎心脏血管并将心脏从尸体中取出。从心脏阴影平面评估的心脏容积在因内部自然原因导致的心脏死亡中显示出显著相关性。对导致死亡症状的数学评估心脏血容量进行比较表明,男性群体中中毒组和溺水、窒息及绞杀组的心脏血容量分别为231 ml和211 ml,与心脏死亡时的血容量(246 ml)处于同一水平。女性群体情况大致相同。(摘要截取自250字)