一名儿童因被锋利的deinagistrodon咬伤而死亡的法医鉴定：一份病例报告。

IF 1.3 4区医学 Q3 MEDICINE, LEGAL

Legal Medicine Pub Date : 2025-01-26 DOI:10.1016/j.legalmed.2025.102590

Panpan Zhu , Guohui Xu , Lixia Lv , Yanfei Xia , Ting Li , Kaixuan Guo

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引用次数: 0

摘要

五步蝰（Deinagkistrodon acutus）是中国常见的毒蛇。其毒液含有金属蛋白酶、磷脂酶A2、c型凝集素样蛋白、丝氨酸蛋白酶等，可引起组织炎症、水肿、坏死、出血、凝血功能障碍，甚至多器官衰竭等急性反应。本报告详细介绍了中国农村地区一名儿童在户外玩耍时被尖齿Deinagkistrodon acutus意外咬伤，经治疗后死亡的案例。解剖结果和组织病理学结果可能有助于在未来的临床管理和法医实践中与尖锐蝮蛇中毒有关。

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Forensic identification of a fatality in a child due to a bite from Deinagkistrodon acutus: A case report

The five-paced viper (Deinagkistrodon acutus) is a prevalent venomous snake in China. Its venom comprises metalloproteinases, phospholipase A2, C-type lectin-like proteins, and serine proteases, which can induce acute reactions such as tissue inflammation, edema, necrosis, hemorrhage, coagulopathy, and even multiple organ failure. This report details a case involving a child in a rural area of China who was accidentally bitten by Deinagkistrodon acutus while playing outdoors and subsequently died despite treatment. The autopsy findings and histopathological results may assist in the clinical management and forensic practice related to Deinagkistrodon acutus envenomation in the future.

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来源期刊

Legal Medicine Nursing-Issues, Ethics and Legal Aspects

CiteScore

2.80

自引率

6.70%

发文量

119

审稿时长

7.9 weeks

期刊介绍： Legal Medicine provides an international forum for the publication of original articles, reviews and correspondence on subjects that cover practical and theoretical areas of interest relating to the wide range of legal medicine. Subjects covered include forensic pathology, toxicology, odontology, anthropology, criminalistics, immunochemistry, hemogenetics and forensic aspects of biological science with emphasis on DNA analysis and molecular biology. Submissions dealing with medicolegal problems such as malpractice, insurance, child abuse or ethics in medical practice are also acceptable.