Austin Amy E, Guddat Saskia S, Tsokos Michael, Gilbert John D, Byard Roger W
Discipline of Anatomy and Pathology, The University of Adelaide, Frome Road, Adelaide, SA 5005, Australia.
J Forensic Leg Med. 2013 Aug;20(6):601-4. doi: 10.1016/j.jflm.2013.02.005. Epub 2013 Feb 26.
Multiple inflicted injuries in traumatic deaths usually indicate homicide. Three cases are reported where homicide was initially suspected due to findings at the death scene and the apparent nature of the injuries however, after investigation, involvement of any other individuals in the deaths could be excluded. Case 1: A 52-year-old male was found with multiple stab wounds. At autopsy, 36 stab wounds were identified, the majority of which were superficial. Only two stab wounds had penetrated deeply. Case 2: A 19-year-old female was found with three gunshot entry wounds to the right temple and a .22 calibre automatic rifle resting across her lap. Case 3: A 47-year-old female was found with numerous haematomas and three deep head wounds in keeping with trauma from impact with a blunt object. A high level of clozapine was detected on toxicological analysis of blood and a history of schizophrenia was reported. Although multiple self-inflicted wounds are most often caused by sharp objects such as knives, on occasion multiple gunshot wounds and rarely, blunt trauma may also be encountered. Careful integration of scene and autopsy findings may be required to avoid misinterpretation of the circumstances and manner of death.
创伤性死亡中的多处损伤通常表明是他杀。本文报告了3例案例，最初因死亡现场的发现和损伤的明显性质而怀疑为他杀，但经过调查，可以排除有其他任何人参与这些死亡事件。案例1：一名52岁男性被发现有多处刺伤。尸检时，共发现36处刺伤，其中大多数为表浅伤。只有两处刺伤深入体内。案例2：一名19岁女性被发现右颞部有三处枪伤入口，腿上放着一支.22口径的自动步枪。案例3：一名47岁女性被发现有多处血肿和三处深部头部伤口，与钝器撞击造成的创伤相符。血液毒理学分析检测到高水平的氯氮平，并报告有精神分裂症病史。虽然多处自伤最常见的原因是刀等锐器，但有时也会遇到多处枪伤，很少见的情况下还会有钝器伤。可能需要仔细整合现场和尸检结果，以避免对死亡情况和方式的误解。
