关于一个人因接触低温水而死亡的法医诊断问题

Igor Anatolevich Tolmachev, Alexander Yuryevich Chudakov, Y. Khrustaleva, A. Bozhchenko
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引用次数: 0

摘要

背景。检查从水中打捞上来的尸体往往给法医鉴定带来困难。目的:提出一套澄清低温条件下致死性冷伤的鉴别诊断特征。材料和方法。对因体温过低和溺死于冰水的人的尸体进行临床观察和法医检查。结果。一个复杂的最显着的诊断体征鉴别诊断急性深低温在水中从其他类型的低温和溺水被揭示。结论。内部器官的形态功能变化一直是由低温的类型、程度和速度决定的。低温条件下致死性冷伤最典型的体征取决于血液供应状况和器官组织结构。根据水肿、局灶性缺血和局灶性坏死的类型发生病理变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TO THE QUESTION OF FORENSIC DIAGNOSIS OF THE CAUSE OF DEATH OF A HUMAN FROM THE EXPOSURE TO LOW TEMPERATURE IN WATER
Background. Examination of corpses taken from the water often causes difficulties in forensic medical evaluation. Aim - proposal of a clarifying set of differential diagnostic features characteristic of a fatal cold injury in conditions of low water temperature. Material and methods. Clinical observations, forensic examination of the corpses of people who died from general hypothermia and drowning in ice water. Results. A complex of the most pronounced diagnostic signs for the differential diagnosis of acute deep hypothermia in water from other types of hypothermia and drowning was revealed. Conclusions. Morphofunctional changes in the internal organs have always been determined by the type, degree and speed of hypothermia. The most characteristic signs for a fatal cold injury in conditions of low water temperature depended on the state of the blood supply, the structure of organs and tissues. Pathological changes developed according to the type of edema, focal ischemia and focal necrosis.
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