Betz P, Puschel K, Miltner E, Lignitz E, Eisenmenger W
Department of Legal Medicine, University of Munich, Germany.
Forensic Sci Int. 1996 Mar 5;78(1):71-80. doi: 10.1016/0379-0738(95)01866-2.
A morphometrical analysis of retinal hemorrhages was performed in cases of physical child abuse including the shaken baby syndrome and in controls (severe head injury, intravital brain death, non-traumatic intracranial hemorrhage, SIDS including cardiopulmonary resuscitation). The extent of the retinal hemorrhages was significantly different between both groups. In all cases of physical child abuse, massive retinal hemorrhages in at least one eye could be found ranging between a maximum value of 19.2 and 73.2% of the entire retinal area. In contrast, only two cases of the control group (severe head injury with skull fractures and intracranial bleeding following traffic accident or fall) showed slight hemorrhages of 3.33 or 1.18% of the retinal area but only in one eye. Therefore, the results provide evidence that massive intraretinal hemorrhages indicate violent shaking -- in particular in association with other signs of physical child abuse.
对包括摇晃婴儿综合征在内的身体虐待儿童病例以及对照组（严重头部损伤、脑死亡、非创伤性颅内出血、包括心肺复苏的婴儿猝死综合征）进行了视网膜出血的形态计量学分析。两组之间视网膜出血的程度有显著差异。在所有身体虐待儿童的病例中，至少一只眼睛发现大量视网膜出血，其范围在整个视网膜面积的最大值的19.2%至73.2%之间。相比之下，对照组中只有两例（交通事故或跌倒后伴有颅骨骨折和颅内出血的严重头部损伤）仅一只眼睛出现了占视网膜面积3.33%或1.18%的轻微出血。因此，结果提供了证据表明大量视网膜内出血表明存在剧烈摇晃，特别是与身体虐待儿童的其他迹象相关联时。
