Zardawi Ibrahim M
Royal Darwin Hospital, Tiwi NT 0811, Australia.
J Forensic Leg Med. 2013 Oct;20(7):848-51. doi: 10.1016/j.jflm.2013.06.029. Epub 2013 Aug 9.
To determine the precise nature of the non-homicide coronial autopsy.
Retrospective analysis of coronial autopsies between 2005 and 2011 in a rural setting on the Mid North Coast of New South Wales.
A total of 1446 autopsies were performed during the 7 year study period. There were 1428 (98.75%) coronial and 18 (1.25%) hospital autopsies. Death in the coronial cases was attributed to natural causes in 829 (58%) of the cases, accidental causes in 321 (22.5%) of the cases, suicide in 244 (17%) of the cases and no apparent cause (indeterminate) in 34 (2.5%) of the cases. Acute myocardial ischaemia constituted 66.7% of the natural causes. Road traffic and other motorised vehicle-related accidents were responsible for 60.7% of deaths in the accidental group. The 2 main types of death in the suicide group were hanging (36.5%) and drug overdose (31.5%). In 34 deaths, the cause remained unclear, however, because of lack of suspicious circumstances and negative histology and toxicology, they were presumed to be due to natural causes.
The hospital autopsy has almost completely disappeared. On the other hand, coronial autopsies are on the rise. General Practitioners appear reluctant to issue death certificates in certain situations where there are no suspicious circumstances and the Coroners feel obliged to ask for autopsies. Currently, there is a severe shortage of pathologist and the additional coronial works adds to the burden on those pathologists who engage in such work. The coronial system needs to think about the role of the autopsy in these circumstances. Furthermore, additional resources from the various stakeholders are required for the increasing educational role of the coronial autopsy in undergraduate and postgraduate teaching.
确定非杀人案件死因裁判尸检的确切性质。
对2005年至2011年新南威尔士州中北部海岸农村地区的死因裁判尸检进行回顾性分析。
在7年的研究期间共进行了1446例尸检。其中有1428例（98.75%）为死因裁判尸检，18例（1.25%）为医院尸检。死因裁判案件中的死亡归因于自然原因的有829例（58%），意外原因的有321例（22.5%），自杀的有244例（17%），无明显原因（不确定）的有34例（2.5%）。急性心肌缺血占自然原因的66.7%。道路交通事故和其他与机动车相关的事故占意外组死亡人数的60.7%。自杀组的两种主要死亡类型是上吊（36.5%）和药物过量（31.5%）。在34例死亡中，死因仍不明确，然而，由于缺乏可疑情况以及组织学和毒理学检查结果为阴性，推测其为自然原因导致。
医院尸检几乎已完全消失。另一方面，死因裁判尸检呈上升趋势。在某些没有可疑情况的情形下，全科医生似乎不愿出具死亡证明，而死因裁判官则觉得有必要要求进行尸检。目前，病理学家严重短缺，额外的死因裁判工作增加了从事此类工作的病理学家的负担。死因裁判系统需要思考尸检在这些情况下的作用。此外，为了死因裁判尸检在本科和研究生教学中日益增加的教育作用，需要各利益相关方提供更多资源。
