[传统专家检查方法确定的空气和水中低温导致死亡的诊断标准]。

Q4 Medicine
A Yu Chudakov, A P Bozhchenko, Yu A Khrustaleva, I A Tolmachev, V V Gayvoronskaya
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引用次数: 0

摘要

在俄罗斯联邦,全身体温过低导致的死亡是暴力死亡的主要原因之一:材料和方法:法医专家对在空气中和水中因体温过低死亡的尸体进行了研究:分析了法医专家对在空气中和水中因体温过低而死亡者尸体的结论(150 例观察结果)。采用了描述性统计、计算体征发生频率比等方法:文章对借助传统专家检查方法确定的具有诊断意义的体征的出现(检测)率进行了定量评估。结果:文章对借助传统专家检查方法建立的具有诊断意义的体征的发生(检出)率进行了量化评估。考虑到体征的不同诊断意义,并反映了人在死前和死后的空气和水中停留的条件以及临终阶段的机制,提出了低体温症死亡诊断体征的新分类:结论:当寒冷暴露被认为是最有害的因素之一时,已建立的体征复合体为在非明显条件下确定死因提供了客观依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diagnostic criteria of death cause from low temperature in air and water established by traditional expert examination methods].

Death from general hypothermia is one of the leading causes in the structure of violent death in the Russian Federation.

Objective: To clarify and supplement the complex of differential diagnostic macro- and microscopic signs of a fatal acute general cold trauma received when person is in the air and water.

Material and methods: The conclusions of forensic medical experts on the bodies of people who died from hypothermia in the air and in water (by 150 observations) were analyzed. Methods of descriptive statistics, calculation of the frequency ratio of signs' occurrence were used.

Results: The article provides quantitative assessment of occurrence (detection) rate of diagnostically significant signs established with the help of traditional methods of expert examination. A new classification of diagnostic death signs from hypothermia taking into account their differential diagnostic significance and reflecting the conditions of a person's stay in the air and water in the pre-mortem and post-mortem periods, as well as terminal period mechanisms is proposed.

Conclusion: The established complexes of signs provide an objective basis for determining death cause in non-obvious conditions when cold exposure is expected to be one of the most damaging factors.

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来源期刊
Sudebno-Meditsinskaya Ekspertisa
Sudebno-Meditsinskaya Ekspertisa Medicine-Pathology and Forensic Medicine
CiteScore
0.60
自引率
0.00%
发文量
70
期刊介绍: The journal is concerned with the theory and practice of forensic medicine - the problems of thanatology, traumatology, toxicology, serology, forensic obstetrics, forensic dentistry, forensic psychiatry, forensic chemistry, physicotechnical methods of investigation, history of forensic medicine and some problems of criminology and legal laws related to forensic medicine. It publishes original studies by Russian authors, casuistry surveys, abstracts and reviews of Russian and foreign literature, scientific information, reports on scientific conferences.
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