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[烧伤尸体的死后胃肠道破裂]

[Postmortem gastrointestinal ruptures in burn cadavers].

作者信息

Schneider V, Pietrzak T, Klöppel I

出版信息

Arch Kriminol. 1986 Jan-Feb;177(1-2):29-33.

PMID:3963991
Abstract

The report informs on ruptures within the area of the gastro-intestinal tract of two siblings (2 and 3 years of age) that were fatally burned in their apartment. The ruptures are obviously pointing to an "explosive-like" evaporation of the watery part of the gastro-intestinal contents under the influence of the heat, at impeded pressure balance through shrinking of the esophagus caused by the heat in the upper area and the closure of the pylorus. Of significance here is surely also the shrinking of the gastro-intestinal wall caused by the heat and the thin abdominal walls which were not likely to have acted as "heat insulators". These findings are a supplement to the burn hematoma of the stomach as described by Berg and Schumann (1985).

摘要

该报告介绍了在公寓中被严重烧伤的两名兄弟姐妹(2岁和3岁)胃肠道区域内的破裂情况。这些破裂显然表明,在热量影响下,胃肠道内容物的水分部分发生了“类似爆炸”的蒸发,原因是上部区域受热导致食管收缩以及幽门关闭,从而阻碍了压力平衡。这里肯定还与受热引起的胃肠壁收缩以及不太可能起到“隔热”作用的薄腹壁有关。这些发现是对Berg和Schumann(1985年)所描述的胃烧伤血肿的补充。

相似文献

1
[Postmortem gastrointestinal ruptures in burn cadavers].[烧伤尸体的死后胃肠道破裂]
Arch Kriminol. 1986 Jan-Feb;177(1-2):29-33.
2
[Differential diagnosis of vital and postmortem processes in burn cadavers].[烧伤尸体生前与死后过程的鉴别诊断]
Arch Kriminol. 1985 Mar-Apr;175(3-4):65-75.
3
[Intramural hematoma of the stomach].[胃壁内血肿]
Khirurgiia (Mosk). 1984 Sep(9):133-4.
4
[Studies on the estimation of the postmortem interval. 8. Burned bodies (author's transl)].[死后间隔时间估计的研究。8. 烧焦尸体(作者译)]
Hokkaido Igaku Zasshi. 1978 Nov;53(6):460-4.
5
[Quality of diagnostic procedures and frequency of endoscopically defined diseases of the upper gastrointestinal tract].[上消化道内镜定义疾病的诊断程序质量与发病频率]
Z Gastroenterol. 2003 Apr;41(4):311-8. doi: 10.1055/s-2003-38645.
6
[Reconstructive operations in combined burn strictures of the esophagus and stomach].
Khirurgiia (Mosk). 2001(5):19-23.
7
[Duplication of the digestive tract in children. Apropos of 12 cases].[小儿消化道重复畸形。附12例报告]
Ann Chir. 1995;49(1):47-55.
8
Paediatric ICU burns in Finland 1994-2004.1994 - 2004年芬兰儿科重症监护病房收治的烧伤病例
Burns. 2008 May;34(3):339-44. doi: 10.1016/j.burns.2007.09.002. Epub 2008 Jan 22.
9
[Generalized primary amyloidosis with massive involvement of the gastrointestinal tract].[伴有胃肠道广泛受累的全身性原发性淀粉样变性]
Z Gesamte Inn Med. 1985 Jun 15;40(12):377-80.
10
[Acute distention of the stomach complicated by necrosis and rupture of its wall].胃急性扩张并伴有胃壁坏死及破裂
Khirurgiia (Mosk). 1990 Dec(12):136.

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1
Postmortem "delivery" in a pregnant fire victim.
Int J Legal Med. 2008 Jul;122(4):327-31. doi: 10.1007/s00414-008-0234-6. Epub 2008 May 27.
2
[Hemorrhage of the head and neck in death by burning].[烧死时头颈部的出血]
Z Rechtsmed. 1988;101(2):61-80. doi: 10.1007/BF00200288.