Marnerides Andreas, Zagelidou Eleni, Leontari Roumbini
Department of Pathology, Karolinska University Hospital and Karolinska Institute, Huddinge, Stockholm, Sweden.
J Forensic Sci. 2013 Mar;58(2):537-9. doi: 10.1111/1556-4029.12073. Epub 2013 Mar 4.
Multishot firearm suicides are relatively rare and suggest the possibility of homicide. Physical activity following gunshots to the head, the neck, and the thorax does occur, and immediate incapacitation does not occur in every fatal gunshot wound that penetrates the head or perforates the heart. Cancer patients appear to be at increased suicide risk, but alcohol intoxication is less common in such cases. We present-to the best of our knowledge for the first time-a case of a 54-year old, male, liver cancer sufferer, who under the influence of alcohol, discharged his revolver three times, suffered, among other wounds, a heart-perforating wound, and died after c. 1.5 h, being able to talk until just before he died. Our case underlines the importance of keeping an open critical mind when dealing with multiple-gunshot fatalities, especially when posttraumatic physical activity might be crucial in differentiating homicide from suicide.
多次枪击自杀相对罕见，提示可能为他杀。头部、颈部及胸部遭枪击后确实会出现身体活动，并非每例穿透头部或射穿心脏的致命枪伤都会立即导致丧失行动能力。癌症患者似乎自杀风险增加，但此类情况下酒精中毒较少见。据我们所知，我们首次报告了一例54岁男性肝癌患者的病例，该患者在酒精影响下三次开枪射击，除其他伤口外，还遭受了心脏穿孔伤，约1.5小时后死亡，直到临死前还能说话。我们的病例强调了在处理多枪致命伤时保持开放批判性思维的重要性，尤其是在创伤后身体活动对于区分他杀和自杀可能至关重要的情况下。
