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法医尸检中关于死因的错误观点:一例病例报告

An erroneous opinion on a cause of death in a forensic autopsy: a case report.

作者信息

Banwari Meel

机构信息

Department Laboratory Medicine and Pathology, Faculty of Health Sciences, Walter Sisulu University, Mthatha 5117 Tel: 047 502 2961, Cell: 0822007460.

出版信息

Afr Health Sci. 2017 Dec;17(4):1246-1249. doi: 10.4314/ahs.v17i4.36.

DOI:10.4314/ahs.v17i4.36
PMID:29937899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5870277/
Abstract

BACKGROUND

The quality of autopsies is always questioned in courts, especially in developing countries. Wrong decisions or misjudgments are undesirable in medicine, but they are very dangerous in forensic medicine. If a wrong opinion is given, either a culprit can be acquitted or an innocent person can be sentenced. Therefore, an expert opinion is always required before the announcement of a judgment.

OBJECTIVE

To highlight the problem of accuracy in determining the cause of death in forensic autopsy.

CASE HISTORY

A 19- year old young adult male (Mr E), who had a history of alcohol abuse, was brought to a hospital casualty department by police, on an allegation of theft. He was unconscious and died within two hours of arrival. A post-mortem report was requested by a private attorney for an expert opinion. A post-mortem examination was conducted and multiple superficial injuries were recorded on his body. Head injury was given as a cause of death. The author seeks to critically analyze the post-mortem findings in relation to the cause and manner of death.

CONCLUSION

An erroneous opinion was reached regarding cause and manner of death in this autopsy report.

摘要

背景

尸检质量在法庭上一直受到质疑,尤其是在发展中国家。医学中错误的决定或误判是不可取的,但在法医学中它们非常危险。如果给出错误的意见,要么罪犯会被宣告无罪,要么无辜的人会被判刑。因此,在宣布判决之前总是需要专家意见。

目的

强调法医尸检中确定死因的准确性问题。

病例史

一名19岁的年轻成年男性(E先生),有酗酒史,因盗窃指控被警方带到医院急诊部。他昏迷不醒,到达后两小时内死亡。一名私人律师要求出具尸检报告以获取专家意见。进行了尸检,其身体上记录有多处浅表损伤。死因被认定为头部受伤。作者试图批判性地分析与死因和死亡方式相关的尸检结果。

结论

这份尸检报告在死因和死亡方式方面得出了错误的意见。

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Effect of alcohol in traumatic brain injury: is it really protective?酒精对创伤性脑损伤的影响:真的有保护作用吗?
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