Vojtíšek Tomáš, Kučerová Štěpánka, Krajsa Jan, Eren Bülent, Vysočanová Petra, Hejna Petr
From the *Faculty of Medicine, Department of Forensic Medicine, Masaryk University, St. Anne's Faculty Hospital, Brno; and †Faculty of Medicine in Hradec Králové, Department of Forensic Medicine, Charles University, University Hospital Hradec Králové, Hradec Králové, Czech Republic; ‡Council of Forensic Medicine of Turkey, Bursa Morgue Department, Bursa, Turkey; and §Faculty of Medicine, Department of Internal Cardiology Medicine, Masaryk University, University Hospital Brno, Brno, Czech Republic.
Am J Forensic Med Pathol. 2017 Mar;38(1):21-23. doi: 10.1097/PAF.0000000000000286.
Postmortem increase in body core temperature is a well-known phenomenon in forensic practice. Despite this, cases of reliably documented postmortem hyperthermia are rarely reported in the forensic literature, and it is still not clear how frequently postmortem hyperthermia occurs and in which cases we may it predict. In routine forensic practice, the standard course of body cooling is expected, and the prediction of normal body core temperature in the time of death is used for back-calculating the time of death by Henssge method. The unexpected rising in body core temperature may considerably misguide the estimation of time since death in the early postmortem period. We present a rare case of nonviolent death in the hospital with exactly recorded unusual elevation of body core temperature after death, although the body temperature shortly before the death was normal. In the presented case, the "standard" cooling of the body began up to 4 hours after death.
尸体核心温度在死后升高是法医学实践中一个众所周知的现象。尽管如此，法医学文献中很少有可靠记录的死后体温过高的案例报道，目前仍不清楚死后体温过高的发生频率以及在哪些情况下可以预测。在常规法医学实践中，人们预期尸体遵循标准的降温过程，并通过亨斯格方法利用死亡时正常的尸体核心温度来倒推死亡时间。死后尸体核心温度意外升高可能会在死后早期严重误导死亡时间的估计。我们报告一例在医院发生的非暴力死亡罕见病例，尽管死者死亡前不久体温正常，但死后尸体核心温度有确切记录的异常升高。在该病例中，尸体“标准”降温在死后长达4小时才开始。
