Amberg R, Strutz J
Institut für Rechtsmedizin, Klinikum der Albert-Ludwigs-Universität, Freiburg.
Laryngorhinootologie. 1995 May;74(5):312-6. doi: 10.1055/s-2007-997746.
In a living patient, a hemotympanum can be a sign of a temporal bone fracture. Postmortem endoscopy in forensic autopsy cases also revealed hemotympanum findings without any fracture. Thoracic compression or cranio-facial congestion were probably the pathogenetic mechanism in some of the cases. An engorgement of the internal and external jugular veins was found in all cases. Due to increased intravenous and intraarterial pressure, capillary hemorrhages were revealed in endoscopy and histological sections.
在活体患者中，鼓室积血可能是颞骨骨折的征象。法医尸检病例中的死后内镜检查也发现了鼓室积血的表现，而无任何骨折。在某些病例中，胸部受压或颅面部充血可能是发病机制。所有病例均发现颈内静脉和颈外静脉充血。由于静脉和动脉压力升高，在内镜检查和组织切片中发现了毛细血管出血。
