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[交通事故中行驶车辆乘客舱内驾驶员和乘客身体各部位损伤的比较特征]

[Comparative characteristics of injuries to individual body parts of the driver and passengers inside the passenger compartment of a moving vehicle in a traffic accident].

作者信息

Bychkov A A, Dubrovin I A, Gerasimov A N, Grukhovskiy S V, Mosoyan A S

机构信息

Department of Forensic Medicine.

Department of Medical Informatics and Statistics of the of the Sechenov First Moscow State Medical University under Ministry of Health of the Russia, Moscow, Russia, 119991.

出版信息

Sud Med Ekspert. 2019;62(3):12-16. doi: 10.17116/sudmed20196203112.

Abstract

The purpose of this study was to investigate the general nature of injuries sustained in a moving passenger car during an accident. The study investigated the nature of injuries in drivers (99 cases) and passengers in the front seat (64), rear right seat (15), rear middle seat (29) and rear left seat (22) who died in an accident due to frontal collision with an obstacle. The general characteristics of the resulting damage were determined with regard to their type, quantity and localization. Drivers were found to have predominantly left-sided injuries to the head and chest, as well as right-sided abdominal and pelvic injuries, frequent neck injuries, smaller limb and permanent foot injuries. The injuries sustained by front seat passengers were characterized mainly by right-sided localization of head and neck injuries, maximum left-sided injury of the upper and lower limbs, and an absence of injuries to the feet. Passengers in the rear right seat were predominantly characterized by right-sided localization of injuries to the head, chest, stomach, pelvis and limbs, an absence of injuries to the feet and a relatively high frequency of damage to the internal organs of the thoracic and abdominal cavities. Passengers in the rear middle seat were characterized by uniform distribution of injuries on the left and right sides of the body, a relatively high frequency of injuries to the head, upper limbs, chest, abdomen and pelvis, a relatively low frequency lower limb injuries and an absence of injuries to the feet. Passengers in the left-hand rear seat were characterized by maximum left-sided localization of injuries to the head, chest and left extremities and minimum traumatization of the internal organs of the thoracic and abdominal cavities.

摘要

本研究的目的是调查在交通事故中移动的乘用车内人员所受伤害的总体性质。该研究调查了在与障碍物正面碰撞导致的事故中死亡的驾驶员(99例)以及前排座位乘客(64例)、后排右侧座位乘客(15例)、后排中间座位乘客(29例)和后排左侧座位乘客(22例)所受伤害的性质。根据伤害的类型、数量和部位确定了所造成损伤的一般特征。结果发现,驾驶员主要是头部和胸部左侧受伤,以及腹部和骨盆右侧受伤,颈部受伤频繁,四肢和足部永久性损伤较少。前排座位乘客所受伤害的主要特征是头部和颈部右侧受伤,上肢和下肢最大程度的左侧受伤,且足部未受伤。后排右侧座位乘客的主要特征是头部、胸部、腹部、骨盆和四肢右侧受伤,足部未受伤,胸腔和腹腔内器官受损频率相对较高。后排中间座位乘客的特征是身体左右两侧受伤分布均匀,头部、上肢、胸部、腹部和骨盆受伤频率相对较高,下肢受伤频率相对较低,足部未受伤。后排左侧座位乘客的特征是头部、胸部和左肢左侧受伤程度最大,胸腔和腹腔内器官受创伤最小。

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