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尖锐利器致致命性左心室损伤后的精确生存时间及体力活动:1例病例报告并文献复习

Precise survival time and physical activity after fatal left ventricle injury from sharp pointed weapon: a case report and a review of the literature.

作者信息

Franchi Angélique, Kolopp Martin, Coudane Henry, Martrille Laurent

机构信息

Service de Médecine Légale, CHU Nancy, Pôle URM, Nancy, F-54000, France.

Service de Médecine Légale, Université de Lorraine, Rue du Morvan 54511, Vandœuvre-les-Nancy, F-54505, France.

出版信息

Int J Legal Med. 2016 Sep;130(5):1299-301. doi: 10.1007/s00414-016-1338-z. Epub 2016 Feb 25.

Abstract

Survival time and physical activity following fatal injury are especially important during investigation of homicide cases and the estimation of a victim's survival time and physical activity following a fatal injury from a sharp weapon is a commonly raised issue, particularly at trial. According to the literature, survival time and physical activity after cardiac damage are short-term estimates without high accuracy. We report the homicide case of a young man who died as a result of a left ventricle injury caused by a sharp pointed weapon. This case is based on evidence from a video surveillance camera that recorded the whole scene after the fatal injury: The victim showed an adapted physical activity for 38 s, although the left ventricle incision measured 2 cm. Despite several cases in the literature, it is not possible to correlate precisely the size of the wounds and the acting capability.

摘要

在凶杀案调查过程中,致命伤后的存活时间和身体活动情况尤为重要,而估算受害者在遭受锐器致命伤后的存活时间和身体活动情况是一个经常被提及的问题,特别是在审判时。根据文献记载,心脏受损后的存活时间和身体活动情况是短期估算,准确性不高。我们报告一例年轻男性因尖锐利器导致左心室损伤而死亡的凶杀案。该案例基于视频监控摄像头记录的致命伤后整个场景的证据:受害者在左心室切口长达2厘米的情况下仍有适应性身体活动38秒。尽管文献中有多个案例,但伤口大小与行动能力之间无法精确关联。

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