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一起非典型触电出口伤及罕见部位烧伤事故现场的调查:一例罕见病例报告及文献综述

The Investigation of an Accident Site With an Atypical Electrocution Exit Wound and Burn in an Unusual Location: A Rare Case Report and Review of Literature.

作者信息

Mathew Deepu, Thakral Sahil, Setia Puneet

出版信息

Acad Forensic Pathol. 2023 Dec;13(3-4):110-115. doi: 10.1177/19253621231214293. Epub 2023 Nov 26.

Abstract

Cases involving electrocution burns are tough to investigate for the clinical forensic practitioner. Burns from high-voltage electrocution might seem like burns from other sources, especially if the victim is in an unconscious state. In this situation, circumstantial evidence in addition to clinical symptoms may be used to exclude other burns. Furthermore, the investigation of accident site results to aid in explaining the pattern of injuries discovered during a clinical evaluation. In this case study, we reported a case of a 33-year-old male who came in contact with a high-voltage transmission wire and was burned over both hands and lower back region. The exit wound was atypical in appearance, with a scorched area of peeling blistering skin, charring, and severe scorching over the lower back region which were correlated with the accident site, and the circumstances that led to electrocution injury.

摘要

对于临床法医从业者来说,涉及电击烧伤的案件很难调查。高压电击造成的烧伤可能看起来与其他来源的烧伤相似,尤其是当受害者处于昏迷状态时。在这种情况下,除了临床症状外,间接证据也可用于排除其他烧伤。此外,对事故现场的调查结果有助于解释临床评估中发现的损伤模式。在本案例研究中,我们报告了一例33岁男性接触高压输电线路,双手和下背部被烧伤的病例。出口伤口外观不典型,下背部有烧焦的脱皮水泡皮肤区域、碳化和严重烧焦,这些与事故现场以及导致电击伤的情况相关。

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本文引用的文献

1
Atypical Exit Wound in High-Voltage Electrocution.
Am J Forensic Med Pathol. 2017 Dec;38(4):336-338. doi: 10.1097/PAF.0000000000000347.
3
Death comes through eye: a rare case of electrocution.死亡通过眼睛降临:一例罕见的触电致死病例。
Am J Forensic Med Pathol. 2009 Sep;30(3):301-2. doi: 10.1097/PAF.0b013e31819d216a.

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