Forensic medical evaluation of penetrating abdominal injuries.

Canan Eryiğit İbiş, Fatma Süheyla Aliustaoğlu
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Abstract

Background: This study aims to discuss the characteristics, origins, degree of injury, results, reporting, and forensic medical aspects of penetrating abdominal injuries.

Methods: In this study, 28,619 cases who applied to the emergency department of Kutahya Health Sciences University Evliya Celebi Training and Research Hospital between January 1, 2016 and December 31, 2020 were reviewed. The forensic reports and medical documents of 85 cases with penetrating abdominal injuries were evaluated retrospectively, with the approval of the ethics committee.

Results: Among the patients included in the study, 87.1% were male and 12.9% were female. The mean age was found to be 31±13 years. When the origins of the cases were analyzed, 87.1% were found to have developed as a result of intentional injury. The incidents predominantly occurred between 20: 00 and 04: 00 hours. As a result of the examinations performed at the hospital after the incident, alcohol was detected in 36.5% of the cases, while 30.6% of the individuals did not consume alcohol. It was observed that 32.9% of the cases were not tested for alcohol. The most common injuries identified were sharp injuries, accounting for 69.4% of cases, and firearm injuries, comprising 27.1%. Organ damage was noted in 68.2% of the cases, with the small intestine being the most frequently damaged organ. The average number of wounds present was 3.6. Intra-abdominal hemorrhage was detected in 61.2% of the cases, and intra-abdominal artery injuries were found in 8.2%. The mortality rate for penetrating abdominal injuries was 8.2%.

Conclusion: In forensic traumatology, penetrating abdominal injuries commonly lead to life-threatening conditions and loss of organ function, which represent the most severe category in trauma severity assessment. Penetrating abdominal injuries most often result from violent incidents, as observed in our study and in the literature.

腹部穿透伤的法医评估。
背景:本研究旨在讨论腹部穿透伤的特征、起源、损伤程度、结果、报告和法医方面的问题:本研究旨在讨论腹部穿透性损伤的特征、起源、损伤程度、结果、报告和法医方面的问题:本研究回顾了 2016 年 1 月 1 日至 2020 年 12 月 31 日期间向库塔希亚健康科学大学埃夫利亚-切莱比培训与研究医院急诊科求诊的 28619 例病例。经伦理委员会批准,对85例腹部穿透伤病例的法医报告和医疗文件进行了回顾性评估:在纳入研究的患者中,87.1%为男性,12.9%为女性。平均年龄为 31±13 岁。对病例的起因进行分析后发现,87.1%的病例是由于故意伤害所致。事件主要发生在 20:00 至 04:00 之间。事发后在医院进行的检查结果显示,36.5%的病例被检测出饮酒,30.6%的人没有饮酒。据观察,32.9%的病例未进行酒精检测。最常见的伤害是锐器伤,占 69.4%,枪械伤占 27.1%。68.2%的病例发现器官受损,其中小肠是最常受损的器官。伤口的平均数量为 3.6 个。61.2%的病例发现腹腔内出血,8.2%的病例发现腹腔内动脉损伤。腹部穿透伤的死亡率为 8.2%:结论:在法医创伤学中,腹部贯穿伤通常会导致生命危险和器官功能丧失,是创伤严重程度评估中最严重的一类。正如我们的研究和文献中所观察到的那样,腹部穿透伤最常见于暴力事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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