急性和亚急性硬膜下出血的年代测定：一项组织病理学研究。
Dating of Acute and Subacute Subdural Haemorrhage: A Histo-Pathological Study.
作者信息
Rao Murali G, Singh Dalbir, Vashista Rakesh Kumar, Sharma Suresh Kumar
机构信息
Assistant Professor, Department of Forensic Medicine, Post Graduate Institute of Medical Education and Research , Chandigarh, India .
Professor and Head of Department, Department of Forensic Medicine, Post Graduate Institute of Medical Education and Research , Chandigarh, India .
出版信息
J Clin Diagn Res. 2016 Jul;10(7):HC01-7. doi: 10.7860/JCDR/2016/19783.8141. Epub 2016 Jul 1.
INTRODUCTION
Microscopic study of the organization of the Subdural Haemorrhage (SDH) verified against the time period can help us in the determination of its age which has serious medico-legal implications. Very few studies concerning the dating of SDH are present in the literature.
AIM
This study was conducted for dating the early subdural haemorrhage by routine histopathological stains.
MATERIALS AND METHODS
A prospective analytical study was conducted during July 2009 to December 2010. A total of 100 cases (50 males and 50 females) fulfilling the inclusion and exclusion criteria were included in this study. Routine histopathological staining of the subdural haematoma was done.
RESULTS
Correlation between the frequency of a given histomorphological phenomenon and the length of the Post-Traumatic Interval (PTI) was evidential. All the histomorphological features, when correlated with PTI groups, were found to be statistically significant, except for Polymorphonuclear Leukocytes (PMN).
CONCLUSION
We concluded that routine histopathology was reliable in the dating of early subdural haemorrhages.
引言
对硬膜下出血（SDH）组织进行显微镜检查，并与时间段相对照，有助于我们确定其出血时间，这具有重要的法医学意义。文献中关于硬膜下出血时间判定的研究极少。
目的
本研究旨在通过常规组织病理学染色对早期硬膜下出血进行时间判定。
材料与方法
于2009年7月至2010年12月进行了一项前瞻性分析研究。本研究共纳入100例符合纳入和排除标准的病例（50例男性和50例女性）。对硬膜下血肿进行常规组织病理学染色。
结果
特定组织形态学现象的发生频率与创伤后间隔时间（PTI）之间存在相关性。除多形核白细胞（PMN）外，所有组织形态学特征与PTI组相关时均具有统计学意义。
结论
我们得出结论，常规组织病理学在早期硬膜下出血的时间判定方面是可靠的。
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