Pigolkin Yu I, Dubrovina I A, Mosoyan A S, Bychkov A A
I.N. Sechenov First Moscow State Medical University, Russian Ministry of Health, Moscow, Russia, 119435.
Academician I.P. Pavlov First St.-Petersburg Medical University, St.-Petersburg, Russia, 197022.
Sud Med Ekspert. 2015 Sep-Oct;58(5):12-16. doi: 10.17116/sudmed201558512-16.
The objective of the present work was to study morphological changes in the ruptured liver of the car drivers resulting from the injury inflicted inside the passenger compartment. Special attention was given to the number, localization, and shape of the ruptures as well as their size and direction. It was shown that the majority of the local ruptures were located in the anterior and the adjoining parts of the liver. They were rather deep and long, directed longitudinally, and had a linear, sometimes zig-zag or irregular stellar shape. The local additional ruptures were also found in the frontal part of the liver, they were shorter than and not as deep as the major ones. These oblique ruptures had an ark-like, angular, linear or zig-zag shape. Central ruptures of a slit-like shape were most often located close to the adjacent frontal part of the liver. Shock-proof ruptures were located in the posterior part of the liver. They were long, deep, and directed longitudinally, had either linear or zig-zag shape. The peripheral ruptures were located in the middle and posterior parts of the liver. They were long, rather narrow, and shallow; their distinctive features was the oblique direction, besides a curvilinear or zig-zag shape.
本研究的目的是研究汽车驾驶员因乘客舱内受伤导致肝脏破裂后的形态学变化。特别关注破裂的数量、位置、形状以及大小和方向。结果表明，大多数局部破裂位于肝脏的前部及其相邻部位。它们相当深且长，纵向分布，呈线性，有时呈锯齿状或不规则星状。在肝脏前部也发现了局部附加破裂，它们比主要破裂短且浅。这些斜向破裂呈弧形、角形、线性或锯齿状。裂隙状的中央破裂最常位于肝脏相邻前部附近。防震破裂位于肝脏后部。它们长且深，纵向分布，呈线性或锯齿状。周边破裂位于肝脏中部和后部。它们长、窄且浅；其显著特征是斜向分布，此外还有曲线状或锯齿状。
