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头皮单纯裂伤导致的致命性出血。

Fatal hemorrhage from simple lacerations of the scalp.

作者信息

Hamilton J R, Sunter J P, Cooper P N

机构信息

Forensic Medicine Unit, University Department of Pathology Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, United Kingdom,

出版信息

Forensic Sci Med Pathol. 2005 Dec;1(4):267-71. doi: 10.1385/FSMP:1:4:267.

DOI:10.1385/FSMP:1:4:267
PMID:25868445
Abstract

Scalp lacerations are frequently seen in both living trauma victims and at post-mortem examination. In clinical circles, it is well known that even "trivial" lacerations of blood-rich areas such as the scalp may bleed profusely and persistently.It is less well known, however, that hemorrhage even from simple scalp lacerations may be fatal. We present seven cases in which hemorrhage from simple scalp lacerations was considered to be the principle cause of death.Chronic alcohol misuse, alcoholic liver disease, and the co-existence of other pathologies such as ischemic heart disease were frequently contributory factors.

摘要

头皮裂伤在活体创伤受害者和尸检中都很常见。在临床领域,众所周知,即使是头皮等血供丰富区域的“轻微”裂伤也可能大量且持续出血。然而,鲜为人知的是,即使是简单的头皮裂伤引起的出血也可能是致命的。我们报告了7例以简单头皮裂伤出血为主要死因的病例。长期酗酒、酒精性肝病以及其他病理状况如缺血性心脏病的并存常常是促成因素。

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1
Fatal hemorrhage from simple lacerations of the scalp.头皮单纯裂伤导致的致命性出血。
Forensic Sci Med Pathol. 2005 Dec;1(4):267-71. doi: 10.1385/FSMP:1:4:267.
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Scalp lacerations resulting in hemorrhagic shock: case reports and recommended management.导致失血性休克的头皮裂伤:病例报告及推荐治疗方法
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本文引用的文献

1
Scalp laceration: an obvious 'occult' cause of shock.头皮裂伤:一种明显的“隐匿性”休克原因。
South Med J. 2000 Mar;93(3):265-6.
2
Scalp lacerations demand careful attention before interhospital transfer of head injured patients.
J Accid Emerg Med. 1996 May;13(3):207-8. doi: 10.1136/emj.13.3.207.
3
Scalp lacerations resulting in hemorrhagic shock: case reports and recommended management.导致失血性休克的头皮裂伤:病例报告及推荐治疗方法
J Emerg Med. 1988 Sep-Oct;6(5):377-9. doi: 10.1016/0736-4679(88)90009-1.
非弹道性皮肤创伤的生物力学建模:钝器伤
Forensic Sci Med Pathol. 2008;4(1):33-9. doi: 10.1007/s12024-007-0029-y. Epub 2007 Aug 15.