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[低温致死。是否有任何新的诊断方面?(作者译)]

[Death by hypothermia. Are there any new diagnostic aspects? (author's transl)].

作者信息

Schneider V, Klug E

出版信息

Z Rechtsmed. 1980;86(1):59-69. doi: 10.1007/BF00200979.

DOI:10.1007/BF00200979
PMID:7467877
Abstract

The report concerns seven cases of death by undercooling which have been investigated this year. The hemorrhaging of muscles in the core of the body (m. iliopsoas) as described by Dirnhofer and Sigrist was found once, this supposedly being a "relatively specific vital sign". In every case it was possible to detect punctiform hemorrhaging of the gastric mucous membrane which according to Unterhofer is decisive when diagnosing death by hypothermia. Furthermore, it was always possible to detect higher acetone values, especially in the urine. This finding could possibly be significant for the diagnosis (death by undercooling). The acetone value is simply a secondary finding when the amount of alcohol is determined by gas chromatography.

摘要

该报告涉及今年已调查的七例低温致死案例。迪尔恩霍费尔和西格里斯描述的身体核心部位(髂腰肌)肌肉出血仅发现过一次,这被认为是一种“相对特异的生命体征”。在每一个案例中,都能检测到胃黏膜点状出血,根据翁特霍费尔的说法,这在诊断低温致死时具有决定性意义。此外,总是能够检测到较高的丙酮值,尤其是在尿液中。这一发现可能对诊断(低温致死)具有重要意义。当通过气相色谱法测定酒精含量时,丙酮值仅仅是一个次要发现。

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1
[Death by hypothermia. Are there any new diagnostic aspects? (author's transl)].[低温致死。是否有任何新的诊断方面?(作者译)]
Z Rechtsmed. 1980;86(1):59-69. doi: 10.1007/BF00200979.
2
Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?体温过低会引发各个核心肌肉群出血:我们可能遗漏了多少个这样的肌肉群呢?
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PLoS One. 2020 Feb 18;15(2):e0218910. doi: 10.1371/journal.pone.0218910. eCollection 2020.
2
Hypothermia provokes hemorrhaging in various core muscle groups: how many of them could we have missed?体温过低会引发各个核心肌肉群出血:我们可能遗漏了多少个这样的肌肉群呢?
Int J Legal Med. 2017 Sep;131(5):1423-1428. doi: 10.1007/s00414-017-1596-4. Epub 2017 Apr 29.
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Postmortem biochemical investigations in hypothermia fatalities.

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[Pathology of general hypothermia in men].[男性全身低温的病理学]
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Hypothermia.体温过低
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[Muscle hemorrhages in the body core: a sign of a vital reaction in death from hypothermia?].[身体核心部位的肌肉出血:低温致死时生命反应的迹象?]
Beitr Gerichtl Med. 1979;37:159-66.