Subedi Nuwadatta, Yadav B N, Jha Shivendra, Paudel Ishwari Sharma, Regmi Rajendra
Department of Forensic Medicine and Toxicology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
J Forensic Leg Med. 2013 Aug;20(6):792-6. doi: 10.1016/j.jflm.2013.06.002. Epub 2013 Jun 28.
Abdomino-pelvic region is vulnerable to injury in various forms of trauma. This study was undertaken with objectives to study the pattern and type of external and internal abdominal and pelvic injuries and to identify the risk organs in abdomen and pelvis susceptible to trauma among the medico-legal autopsies at the mortuary of a referral centre in eastern Nepal during the period of one year (n = 80). Males constituted 80% of the cases and the mean age of the victims was 30.76 years. The cause of trauma was Road Traffic Accident in 82.5%. The manner of death was accidental in 87.5% and homicidal in 11.25% cases. Liver (57.5%) was the most common organ injured followed by spleen in 37.5% cases. Multiple organs injury was seen in 67.5% and absence of any external injuries was noted in 31.25% cases. Autopsy can play a role in establishing the missed injuries and be helpful to widen the knowledge of the medical faculty in early diagnosis and management of such injuries.
腹盆腔区域在各种形式的创伤中容易受伤。本研究旨在研究尼泊尔东部一家转诊中心太平间一年期间(n = 80)法医尸检中腹部和盆腔内外伤的模式和类型,并确定腹部和盆腔中易受创伤的风险器官。男性占病例的80%,受害者的平均年龄为30.76岁。82.5%的创伤原因是道路交通事故。87.5%的死亡方式为意外,11.25%为他杀。肝脏(57.5%)是最常受伤的器官,其次是脾脏,占37.5%的病例。67.5%的病例有多器官损伤,31.25%的病例未发现任何外部损伤。尸检可在确定漏诊损伤方面发挥作用,并有助于拓宽医学专业人员对此类损伤早期诊断和处理的认识。