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弩伤:病例报告和实验重建研究及文献系统综述。

Crossbow injuries: A case report with experimental reconstruction study and a systematic review of literature.

机构信息

Section of Legal Medicine, Department of Surgical Pathology, Medical, Molecular and Critical Area, University of Pisa, Pisa, Italy.

Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, Rome, Italy.

出版信息

J Forensic Leg Med. 2021 Apr;79:102147. doi: 10.1016/j.jflm.2021.102147. Epub 2021 Feb 27.

DOI:10.1016/j.jflm.2021.102147
PMID:33721732
Abstract

In modern times crossbow - a ranged weapon diffused during Middle Ages - is increasing its popularity in recreational hunting and sports; crossbow bolts have a great penetration capacity, despite their low initial velocity. Great concerns emerge when considering that notwithstanding crossbow is a potentially lethal distance weapon, it is easy to obtain without having to undertake any tests on the buyer's mental or physical health. Although rare, crossbow injuries can be challenging for the forensic pathologist due to great similarities with other wounds pattern (gunshots wounds or injury due to sharp force). Especially when the arrow is removed from its original position or the body is decomposed, identification of the weapon can be difficult. According to forensic literature, suicides, homicides and non-lethal injuries by crossbow have been reported up to the present day. We followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) indications in the identification and selection of studies and reviewed a series of cases of both fatal and non-fatal crossbow injuries, according to the manner of death (homicide, suicide, accidental). The casuistic part of this paper deals with an attempted murder of a 21-year old man: a case of non-lethal crossbow injury of the thorax in which an interdisciplinary approach, involving forensic inspection, ballistic and radiology tests, led to solve the case.

摘要

在现代,弩 - 一种在中世纪传播的远程武器 - 在娱乐狩猎和运动中越来越受欢迎;弩箭尽管初始速度较低,但具有很强的穿透力。尽管弩是一种潜在的致命远程武器,但很容易获得,而无需对购买者的身心健康进行任何测试,这引起了人们的极大关注。尽管很少见,但由于与其他伤口模式(枪击伤或因锐器造成的伤害)非常相似,弩伤可能对法医病理学家构成挑战。尤其是当箭从原始位置取出或尸体分解时,确定武器可能会很困难。根据法医文献,迄今为止,已有报道称使用弩进行自杀、他杀和非致命伤害。我们按照系统评价和荟萃分析的首选报告项目(PRISMA)的指示,在识别和选择研究方面进行了研究,并根据死亡方式(他杀、自杀、意外)审查了一系列致命和非致命弩伤的案例。本文的案例部分涉及一起 21 岁男子的谋杀未遂案:这是一例胸部非致命弩伤的案例,涉及法医检查、弹道学和放射学测试的跨学科方法,最终解决了此案。

相似文献

1
Crossbow injuries: A case report with experimental reconstruction study and a systematic review of literature.弩伤:病例报告和实验重建研究及文献系统综述。
J Forensic Leg Med. 2021 Apr;79:102147. doi: 10.1016/j.jflm.2021.102147. Epub 2021 Feb 27.
2
Arrow entrance wounds with blackened margins simulating bullet wipe.箭头入口伤,边缘发黑,类似子弹擦痕。
Int J Legal Med. 2020 Jan;134(1):283-294. doi: 10.1007/s00414-019-02191-1. Epub 2019 Nov 11.
3
Crossbow injuries: a case report.弩伤:一例病例报告。
J Forensic Leg Med. 2009 Aug;16(6):343-5. doi: 10.1016/j.jflm.2008.12.022.
4
Necessary Defense or Homicide?: The Importance of Crime Scene Reconstruction in Crossbow Injuries.正当防卫还是杀人行为?:犯罪现场重建在弩伤案件中的重要性
Am J Forensic Med Pathol. 2019 Sep;40(3):293-297. doi: 10.1097/PAF.0000000000000493.
5
A Case of Crossbow Homicide With Review of Crossbow Injuries and Manner of Death Considerations.一起弩杀人案及弩伤回顾与死亡方式考量
Am J Forensic Med Pathol. 2020 Dec;41(4):315-320. doi: 10.1097/PAF.0000000000000564.
6
A crossbow suicide.弩自杀。
Forensic Sci Int. 2017 Dec;281:e19-e23. doi: 10.1016/j.forsciint.2017.10.019. Epub 2017 Oct 18.
7
Crossbow injuries: A case of suicide.弩伤:自杀案例。
Leg Med (Tokyo). 2022 Sep;58:102088. doi: 10.1016/j.legalmed.2022.102088. Epub 2022 May 14.
8
Death Due to Accidental Crossbow Arrow Injury: Case Report and Review of the Literature.因意外弩箭伤致死:病例报告及文献复习。
Am J Forensic Med Pathol. 2023 Jun 1;44(2):126-131. doi: 10.1097/PAF.0000000000000823. Epub 2023 Mar 20.
9
Crossbow homicides.弩杀案
Int J Legal Med. 2004 Dec;118(6):332-6. doi: 10.1007/s00414-004-0474-z. Epub 2004 Sep 4.
10
[Forensic medical assessment of injuries to the human body and clothes caused by a crossbow arrow].[关于弩箭造成的人体及衣物损伤的法医鉴定]
Sud Med Ekspert. 2011 May-Jun;54(3):32-5.

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