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重新审视热血肿的经典定义:一例罕见的死后硬脑膜下热血肿。

Revisiting the canonical definition of heat hematoma: A rare case of postmortem subdural heat hematoma.

机构信息

Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Japan.

Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Japan.

出版信息

J Forensic Leg Med. 2023 Aug;98:102563. doi: 10.1016/j.jflm.2023.102563. Epub 2023 Jul 13.

Abstract

Heat hematoma is generally recognized as a postmortem heat-induced artifact in extradural spaces found in burned bodies. Conversely, subdural hematoma in charred bodies is more indicative of antemortem trauma. Here, we present a rare case of a subdural heat hematoma in forensic practice. The subdural hematoma was found in a charred body that was determined to be dead before the fire without findings of antemortem head injury. Furthermore, the detailed determination and formation mechanism of this subdural heat hematoma are discussed. With this rare case, we propose a reconsideration of the canonical definition of heat hematoma. This report envisions benefitting forensic pathologists facing similar cases.

摘要

热性血肿通常被认为是烧伤尸体硬脑膜外腔中热诱导的死后现象。相反,烧焦尸体中的硬膜下血肿更提示生前创伤。在此,我们报告了一起法医学实践中罕见的硬膜下热性血肿案例。该硬膜下血肿位于烧焦的尸体中,在火灾前确定为死亡,且无生前头部损伤的发现。此外,还讨论了该硬膜下热性血肿的详细确定和形成机制。通过这个罕见的案例,我们对热性血肿的经典定义提出了重新考虑。本报告希望能为遇到类似案例的法医病理学家提供帮助。

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