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[缢吊中的损伤与生命反应模式]

[Injuries and vital reactions patterns in hanging].

出版信息

Srp Arh Celok Lek. 2015 Jan-Feb;143(1-2):93-9. doi: 10.2298/sarh1502093n.

DOI:10.2298/sarh1502093n
PMID:25845260
Abstract

Hanging is a form of ligature strangulation in which the force applied to the neck is derived from the gravitational drag of one's own body weight. A furrow-dessication is the most common form of ligature mark on the skin. The furrow is a postmortem phenomenon due to ligature pressure and it is more detectable as the suspension time becomes longer.Vital reaction is a phenomenon that shows if the injury was pre- mortal. Vital signs could be present at the injury site, thus it is termed as local, but they could also be remote from the injury site, and then they are termed general vital signs. The presence and recognition of any vital reaction in each pathoforensic case indicate vitality of certain injury, which is sometimes exceptionally useful in solving the case under investigation. Although in cases of hanging there is usually no question about the vitality of injury, this does not mean that one should not recognize the type of vital reactions and location of occurrence of these phenomena in such cases. Most often they can be also useful in the reconstruction of the mechanism. This paper presents most common vital reactions in hanging, with explanation of their underlying mechanisms, and their significance in forensic pathology is pointed out.

摘要

缢吊是一种勒颈窒息形式,施加于颈部的力量源自自身体重的重力牵引。缢沟干燥是皮肤上最常见的勒痕形式。缢沟是死后因绳索压迫形成的现象,随着悬吊时间延长更易被察觉。生命反应是一种表明损伤是否发生在生前的现象。生命体征可能出现在损伤部位,因而称为局部生命体征,但也可能远离损伤部位,此时则称为全身生命体征。在每例法医病理案件中,任何生命反应的存在及识别都表明特定损伤的生前性,这在解决正在调查的案件时有时极为有用。尽管在缢吊案件中,损伤的生前性通常并无疑问,但这并不意味着在这类案件中就不应识别生命反应的类型及其出现的位置。它们大多在机制重建中也很有用。本文介绍了缢吊中最常见的生命反应,并解释了其潜在机制,同时指出了它们在法医病理学中的意义。

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