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一例伴有克伦莱因氏枪击伤的腐败尸体解剖病例及颅骨重建的重要性

An Autopsy Case of the Decomposed Body with Kronlein's Shot and the Importance of Skull Reconstruction.

作者信息

Gupta Mayank, Tiwari Praveen Kumar

机构信息

Department of Forensic Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

Int J Appl Basic Med Res. 2022 Jan-Mar;12(1):47-50. doi: 10.4103/ijabmr.ijabmr_354_21. Epub 2022 Jan 31.

Abstract

In forensic medicine, firearm-related fatalities are regular. The range and velocity of the bullet, the characteristics of the wounds, and the probability of recovery are vital components of forensic analyses. While examining gunshot wounds to the skull, focus on the critical difference between bullet entry and exit points and the distance between the muzzle and the bullet entrance is vital. Determining bullet injury in cases of extreme decay has been a difficult challenge. The police send a corpse in the later stages of decomposition for re-postmortem examination, with a history of severe blunt force injuries to the head in our case report. Following the reconstruction of the skull, it is determined that some regions are bone deficient. A bullet entry wound is present on the left side's upper border of the defect, formed like an arc (representing the upper 1/3 of a circle), and a corresponding exit wound was discovered on the right side's lower border of the defect, shaped like an arc (representing the lower 1/3 of a circle). The bullet passed left to right backward and downward. It is noteworthy that in cases of advanced decomposition, where identifying the characteristics of a bullet wound is nearly impossible, fully skeletonizing the body and reconstructing it will provide critical hints to establishing the cause of death.

摘要

在法医学中,与枪支相关的死亡事件屡见不鲜。子弹的射程和速度、伤口的特征以及复原的可能性是法医分析的关键要素。在检查颅骨枪伤时,关注子弹入口和出口点之间的关键差异以及枪口与子弹入口之间的距离至关重要。在极度腐烂的情况下确定子弹损伤一直是一项艰巨的挑战。警方送来一具处于后期腐烂阶段的尸体进行重新尸检,在我们的病例报告中该尸体有头部严重钝器伤的病史。在颅骨重建后,确定有些区域骨质缺损。在缺损左侧上缘有一个子弹入口伤口,呈弧形(代表一个圆的上1/3),在缺损右侧下缘发现了一个相应的出口伤口,呈弧形(代表一个圆的下1/3)。子弹从左向右向后下方穿过。值得注意的是,在高度腐烂的情况下,几乎不可能识别子弹伤口的特征,将尸体完全骨骼化并进行重建将为确定死因提供关键线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0420/8848563/c870aea58b9d/IJABMR-12-47-g001.jpg

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