Institute of Legal Medicine, University Hospital Schleswig-Holstein, Arnold-Heller-Str. 3, Building 28, 24105, Kiel, Germany.
Forensic Sci Med Pathol. 2024 Sep;20(3):1131-1135. doi: 10.1007/s12024-023-00769-1. Epub 2024 Feb 28.
Wrist injuries are not uncommon in forensic routine and are usually found in the context of suicides or as a result of psychiatric illnesses, e.g., borderline disorders. Sharp objects (knives, broken glass, etc.) are usually used. In the case reported here, a paranoid-schizophrenic man not only injured himself with razor blades on both wrists, but he also inflicted extensive wrist bite injuries using his dental prosthesis. In addition to the severance of flexor tendons, venous vessels and the left radial artery were torn with subsequent blood loss. At the time of death, there was also acute exposure to methadone and opiates. Patients suffering from psychotic illnesses have an increased risk of committing spectacular or bizarre suicides.
腕部损伤在法医学常规中并不罕见，通常见于自杀或精神疾病的情况，例如边缘性障碍。通常使用锐利的物体（刀、碎玻璃等）。在本例中，一名偏执型精神分裂症患者不仅用刀片割伤了双腕，还用义齿造成了广泛的腕部咬伤。除了屈肌腱断裂外，静脉血管和左侧桡动脉也被撕裂，导致随后失血。死亡时，还有急性接触美沙酮和阿片类药物。患有精神病的患者自杀的风险增加，可能会采取惊人或奇特的方式。
