Doberentz Elke, Madea Burkhard
Institut für Rechtsmedizin der Rheinischen Friedrich-Wilhelms-Universität, Bonn.
Arch Kriminol. 2012 Sep-Oct;230(3-4):128-36.
The discovery of a body in an unusual position such as a head-down position requires thorough investigation. In this article, such a death is reported. A 64-year-old man was found in a head-down position at the bottom of a narrow staircase after obviously falling down the stairs. His head was wedged between the last step and a closed sliding door. Autopsy revealed craniofacial blunt force injuries, a non-dislocated fracture of the 4th cervical vertebral body (with intact ligaments of the spine and cervical cord) and massive cerebral and pulmonary oedema. Although the heart was significantly enlarged (610 g), the coronary arteries showed only minor arteriosclerotic changes. The alcohol concentration measured was 2.06 per mil in blood and 2.67 per mil in urine. The alcohol intoxication increased the risk to fall and together with the trauma of the cervical spine made it impossible for the man to free himself so that he ultimately died in a head-down position.
发现尸体处于异常姿势（如下头位）需要进行彻底调查。本文报告了这样一例死亡案例。一名64岁男性在明显从楼梯上摔下后，被发现下头位倒在狭窄楼梯底部。他的头部卡在最后一级台阶和一扇关闭的滑动门之间。尸检显示颅面部钝器伤、第四颈椎椎体无脱位骨折（脊柱和颈髓韧带完整）以及大量脑和肺水肿。尽管心脏明显增大（610克），但冠状动脉仅显示轻微动脉硬化改变。测得血液酒精浓度为千分之2.06，尿液酒精浓度为千分之2.67。酒精中毒增加了摔倒风险，再加上颈椎创伤，使得该男子无法自救，最终下头位死亡。
