Institute of Legal Medicine, Medical University Hannover, Carl-Neuberg-Str. 1, D30625 Hannover, Germany.
Int J Legal Med. 2013 Sep;127(5):971-4. doi: 10.1007/s00414-013-0881-0. Epub 2013 Jun 26.
The question of whether instantaneous rigor mortis (IR), the hypothetic sudden occurrence of stiffening of the muscles upon death, actually exists has been controversially debated over the last 150 years. While modern German forensic literature rejects this concept, the contemporary British literature is more willing to embrace it. We present the case of a young woman who suffered from diabetes and who was found dead in an upright standing position with back and shoulders leaned against a punchbag and a cupboard. Rigor mortis was fully established, livor mortis was strong and according to the position the body was found in. After autopsy and toxicological analysis, it was stated that death most probably occurred due to a ketoacidotic coma with markedly increased values of glucose and lactate in the cerebrospinal fluid as well as acetone in blood and urine. Whereas the position of the body is most unusual, a detailed analysis revealed that it is a stable position even without rigor mortis. Therefore, this case does not further support the controversial concept of IR.
关于瞬间僵硬(IR)是否存在的问题,即在人死后肌肉突然僵硬,这在过去的 150 年里一直存在争议。虽然现代德国法医文献拒绝接受这一概念,但当代英国文献更愿意接受它。我们介绍了一个年轻女子的案例,她患有糖尿病,被发现时正以直立的姿势靠墙站着,背靠一个沙袋和一个碗橱。尸僵完全形成,尸斑明显,根据尸体的位置判断。尸检和毒理学分析后表明,最有可能是由于酮症酸中毒昏迷导致死亡,脑脊液中葡萄糖和乳酸明显升高,血液和尿液中也有丙酮。虽然尸体的位置非常不寻常,但详细分析表明,即使没有尸僵,这个位置也是稳定的。因此,这个案例并没有进一步支持瞬间僵硬这一有争议的概念。