Fetisov V A, Makarov I Yu, Kovalev A V, Gusarov A A, Sarkisyan B A, Yankovsky V E
Department of Research Organization, Russian Federal Centre of Forensic Medical Expertise, Ministry of Health of the Russian Federation, Moscow, Russia, 125284.
Professor V.N. Kryukov Department of Forensic Medicine and Pathological Anatomy with the course of additional professional education, Altai State Medical University, Ministry of Health of the Russian Federation, Barnaul, Russia, 656038.
Sud Med Ekspert. 2017;60(5):44-48. doi: 10.17116/sudmed201760544-48.
The objective of the present study was the analysis of the publications in the domestic and foreign literature containing the reports concerning the experience with forensic medical expertise of the strongly burnt and carbonized human corpses. Flame is known to sometimes cause injuries simulating the intravital wounds. Such injuries are categorized into the following types. Thermal ruptures reminiscent of the classical stab and slash wounds unaccompanied by swelling and hemorrhage in the surrounding tissues. Thermal epidural hematomas characterized, unlike traumatic hemorrhages, by the loose cellular structure, brown or reddish-brown colour, and localization at the convex surfaces of both hemispheres of the brain. Thermal amputations differs from the intravital injuries in that they have the polished edges as well as the smoothed and rounded ends the bones bearing no residual soft tissues. The morphological picture of the thermal fractures depends on the time and temperature of the thermal impact. As a rule, the compact bone tissue separates into layers in both longitudinal and transverse directions with the formation of even cortical and through cracks of different length and width. The comprehensive investigation of bone injuries accompanied by the alteration of their physical properties makes it possible to determine the type and the sequence of the combined (mechanical and thermal) actions. The bone of the base of the skull and cervical vertebrae sometimes retain the signs of intravital mechanical injuries. Post-mortem tomography provides an important accessory tool for the examination of the remains.
本研究的目的是分析国内外文献中有关严重烧伤和碳化尸体法医鉴定经验的报告。众所周知,火焰有时会造成类似生前伤口的损伤。此类损伤可分为以下几种类型。热破裂类似于典型的刺伤和砍伤,但周围组织无肿胀和出血。热硬膜外血肿与外伤性出血不同,其特点是细胞结构疏松,呈棕色或红棕色,位于大脑两半球的凸面。热截肢与生前损伤的不同之处在于,其边缘光滑,骨头末端平滑且呈圆形,没有残留软组织。热骨折的形态学表现取决于热作用的时间和温度。通常,致密骨组织在纵向和横向上都会分层,形成均匀的皮质和不同长度及宽度的贯穿裂缝。对伴有物理性质改变的骨骼损伤进行综合研究,有助于确定联合(机械和热)作用的类型和顺序。颅骨底部和颈椎的骨头有时会保留生前机械损伤的迹象。死后断层扫描为遗体检查提供了重要的辅助工具。