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作为初始碰撞伤的视网膜脱离(作者译)

[Decollement as initial collision injury (author's transl)].

作者信息

Metter D

出版信息

Z Rechtsmed. 1980;85(3):211-9. doi: 10.1007/BF02116322.

DOI:10.1007/BF02116322
PMID:7415577
Abstract

Decollement is considered a classical indication of a run-over injury. Injury, however, also occurs in erect bearing with the initial collision mechanism. Non-selected material of 180 fatal pedestrian/car accidents was subject to study. Among 106 lateral accidents there were 52 accidents with collation which alone or in conjunction with fractures marked the location of the primary impact. Of 51 dorsal accidents subcutaneous undermining was established in 20 accidents. Resulting pockets were localized on the lower leg, thigh, and in the region of the pelvis. They were brought about by the way tangential stripping force, exerted by the sheet-metal fittings on the front of the vehicle, acts. Unlike, with run-over injuries the initial collision injury is smaller and not so conspicuous on external inspection. Frequently, it is only determined after the legs and back of the trunk had been fully dissected. Incisions questionable points are not adequate. Decollement is a useful finding in reconstructing fatal pedestrian accidents. Storage and maceration of bones to determine the directin of impact is only necessary in exceptional cases.

摘要

脱套伤被认为是碾压伤的典型表现。然而,在初始碰撞机制下的直立姿势中也会发生损伤。对180起致命行人/汽车事故的非选择性材料进行了研究。在106起侧面事故中,有52起碰撞事故,单独或与骨折一起标明了主要撞击的位置。在51起背部事故中,20起确定有皮下剥离。形成的腔隙位于小腿、大腿和骨盆区域。它们是由车辆前部的金属薄板配件施加的切向剥离力作用方式造成的。与碾压伤不同,初始碰撞伤较小,在外部检查时不那么明显。通常,只有在腿部和躯干背部完全解剖后才能确定。切口可疑点并不充分。脱套伤在重建致命行人事故中是一个有用的发现。只有在特殊情况下才需要储存和浸软骨骼以确定撞击方向。

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引用本文的文献

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[Clues in pedestrian-vehicle collisions and their significance for reconstruction of accidents].[行人与车辆碰撞中的线索及其对事故重建的意义]
Z Rechtsmed. 1983;91(1):21-32. doi: 10.1007/BF01882445.

本文引用的文献

1
[On the taxonomy of wounds in road traffic: clothing and skin wounds].[关于道路交通伤的分类:衣物伤与皮肤伤]
Hefte Unfallheilkd. 1968;94:273-6.
2
[Analysis of traffic injuries of the lower extremities].[下肢交通伤分析]
Beitr Gerichtl Med. 1977;35:77-83.
3
[Autopsy methods in traffic accident cases].[交通事故案件中的尸检方法]
Beitr Gerichtl Med. 1977;35:37-9.