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一例由狗咬伤导致的低温致死病例。

A fatal case of hypothermia caused by dog bites.

作者信息

Li Yanning, Shen Ruipeng, Ding Runtao, Wen Gehua, Du Ao, Dong Zhibin, Ren Xinghua, Yao Hui, Zhu Baoli, Li Rubo, Lu Yan, Wu Xu

机构信息

1 Department of Forensic Pathology, School of Forensic Medicine, China Medical University, Shenyang, PR China.

2 Wujiang District Branch of Suzhou Public Security Bureau, Suzhou, PR China.

出版信息

Med Sci Law. 2017 Jul;57(3):130-133. doi: 10.1177/0025802417712882. Epub 2017 Jun 6.

DOI:10.1177/0025802417712882
PMID:28587535
Abstract

Death from hypothermia usually *We presented a fatal case of hypothermia after being bitten by dog in this article. occurs among people exposed to cold and humid environmental conditions when they are homeless, aged, suffering from natural or psychiatric diseases and drug or alcohol intoxication. A normal healthy person dying from hypothermia due to dog bites is unusual and rare. Here, we present a fatal case of hypothermia following dog bites causing blood loss and multiple wounds on the body. A 56-year-old man was found dead in a remote roadside puddle of a small village, early in the morning. He was naked, and his body trunk and limbs had multiple irregular wounds. Gray animal hairs could be seen in parts of the wound cavities and surrounding areas. In addition, there was a kennel near the scene. Family members argued that the deceased was bitten to death by a dog. However, autopsy revealed several findings which were strongly supportive of fatal hypothermia. Moreover, we saw no obvious changes caused by blood loss, either on the body surface or internal organs. Accordingly, we concluded the true cause of his death was fatal hypothermia; bites from a dog was a necessary causative factor.

摘要

本文报告了一例被狗咬伤后发生低温致死的病例。低温死亡通常发生在无家可归、年老、患有自然疾病或精神疾病以及药物或酒精中毒的人暴露于寒冷潮湿环境条件下时。一个正常健康的人因被狗咬伤而死于低温是不寻常且罕见的。在此,我们呈现一例因狗咬伤导致失血和身体多处伤口后发生低温致死的病例。一名56岁男子清晨被发现死在一个小村庄偏远路边的水坑里。他赤身裸体,躯干和四肢有多处不规则伤口。在部分伤口腔隙及周围区域可见灰色动物毛发。此外,现场附近有一个狗窝。家属称死者是被狗咬死的。然而,尸检发现了一些强烈支持低温致死的结果。而且,我们在体表或内脏均未看到失血造成的明显变化。因此,我们得出其死亡的真正原因是低温致死;被狗咬伤是一个必要的致病因素。

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