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[一例可疑虐待儿童病例的生物力学与形态学重建]

[Biomechanical and morphologic reconstruction of a questionable case of child abuse].

作者信息

Müller-Kölbl S, Bratzke H, Beier G

机构信息

Institut für Rechtsmedizin der Universität München.

出版信息

Z Rechtsmed. 1989;102(5):347-52. doi: 10.1007/BF00200224.

DOI:10.1007/BF00200224
PMID:2728628
Abstract

A 3-month-old baby died 8 days after admission to the hospital as a result of injuries received under unknown circumstances. The forensic autopsy revealed a fracture of the scull and a severe blunt injury to the head and brain. Histological investigation of the reactive changes at and around the edges of the fracture showed that the trauma could not possibly have been congenital. According to the defendant, the baby boy had been lying on the table used for changing his nappy and almost fell off it. The defendant moved "instinctively" to catch him, and this "reflex movement" caused the injuries observed. The event was then reconstructed by the criminal investigators and this reconstruction, coupled with the authors' biomechanical experiments using stroboscopic recording, revealed that the defendant's statement could not be true, as the force necessary to inflict the injuries was much greater than could be explained by an attempt to catch the baby.

摘要

一名3个月大的婴儿在入院8天后死亡,死因是在不明情况下受到的伤害。法医尸检发现颅骨骨折以及头部和脑部严重钝器伤。对骨折边缘及周围反应性变化的组织学调查表明,此次创伤不可能是先天性的。据被告称,男婴当时正躺在换尿布的桌子上,差点从上面掉下来。被告“本能地”伸手去抓他,这种“反射动作”导致了所观察到的伤害。刑事调查人员随后对该事件进行了重建,并且这种重建,再加上作者使用频闪记录进行的生物力学实验,表明被告的说法不可能是真的,因为造成这些伤害所需的力远大于试图抓住婴儿所能解释的程度。

相似文献

1
[Biomechanical and morphologic reconstruction of a questionable case of child abuse].[一例可疑虐待儿童病例的生物力学与形态学重建]
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2
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本文引用的文献

1
[Experimental studies of skull fractures in infants].[婴儿颅骨骨折的实验研究]
Z Rechtsmed. 1984;92(2):87-94. doi: 10.1007/BF02116216.
2
[Downfall in infancy].[婴儿期的衰落]
Dtsch Med Wochenschr. 1972 Oct 27;97(43):1640-6. doi: 10.1055/s-0028-1107622.
3
[Biomechanical fragility of the infant skull].[婴儿颅骨的生物力学脆弱性]
Z Rechtsmed. 1985;94(2):93-101. doi: 10.1007/BF00198677.
4
[Predilection sites of infantile skull fractures following blunt force].
Z Rechtsmed. 1987;98(2):81-93. doi: 10.1007/BF00200464.
5
[Biomechanical analysis of movement using stroboscopy].[使用频闪观测法对运动进行生物力学分析]
Beitr Gerichtl Med. 1989;47:287-94.