激光偏振法鉴别诊断死后不同阶段兽尸和瘀伤的可能性

V. Voronov
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摘要

法医医学的一个紧迫问题仍然是在腐烂尸体的检查中发现软组织出血,因为尸体后期的现象严重扭曲了原始形态学图像,从而使检查复杂化。在死亡后几天或更晚的时间内皮肤颜色的变化通常使肉眼无法诊断出血,特别是与死畜性坏死的鉴别。工作的目的。利用Muller矩阵分析人体软组织光学各向异性多晶体网络的偏振图像,探讨在死后不同阶段检测和鉴别尸死动物瘀伤的可能性。材料和方法。从机械损伤死亡的人的尸体上收集有皮下脂肪组织的皮肤切片。所获得的标本分为两组:一组是处于分泌和吸吸阶段的完整的死狮标本,另一组是死亡后已知时间的出血标本。使用标准方案的激光偏振计进行组织研究。根据研究结果,确定皮肤激光图像强度分布的3阶和4阶(S3, S4)统计矩值在完整区域与合并瘀伤和死畜时具有统计学意义( 1< 0.001)。不对称和过剩(S3)值从1,23±0,032到1,56±0,038;随着死亡时间间隔的增加,完整腐尸标本的S4从1,49±0,024到1,94±0,021不等。S3和S4的变化相似(S3从1,54±0,031到1,83±0,037;从1,82±0,026到2,11±0,023),在已有瘀伤的死狮局部区域的皮肤样本中。由此可见,利用人体软组织光学各向异性多晶网络偏振图像的Mueller矩阵分析方法,通过对三阶和四阶统计矩的值进行统计分析,可以有效地检测和区分死后不同阶段尸体斑点区域的瘀伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Possibilities of differential diagnostics of livores mortis and bruises at different stages of the time since death using laser polarization methods
One of the urgent problems of forensic medicine remains the detection of hemorrhages in soft tissues during examinations of decayed corpses, because late cadaveric phenomena significantly distort the primary morphological picture, thereby complicating the examination. A change in the color of the skin after a few days or later after death most often makes the macroscopic diagnosis of hemorrhages impossible, in particular, their differentiation with livores mortis.The aim of work. To investigate the possibilities of detecting and differentiating bruises in areas of livores mortis at different stages of the time since death by the Muller matrix analysis of polarization images of optically anisotropic polycrystalline networks of human soft tissues. Material and methods. Skin sections with subcutaneous fatty tissue were collected from corpses of persons who died from mechanical injuries. The obtained samples were divided into two groups: intact samples of livores mortis at the stages of hypostasis and imbibition and with existing hemorrhages with a known time since death. Tissue research was carried out using a laser polarimeter of a standard scheme.Results. According to the results of the study, it was established that the values of the statistical moments of the 3rd and 4th orders (S3, S4) of the intensity distributions of laser images of the skin show a statistically significant (р1<0,001) difference between intact areas and when bruises and livores mortis are combined. The values of asymmetry and excess (S3 from 1,23±0,032 to 1,56±0,038; S4 from 1,49±0,024 to 1,94±0,021) for intact samples of livores mortis changed with increasing interval of time since death. Similar changes in S3 and S4 (S3 from 1,54±0,031 to 1,83±0,037; S3from 1,82±0,026 to 2,11±0,023) for skin samples in the areas of localization of livores mortis with existing bruises.Conclusions. Thus, it can be stated that the application of the Mueller matrix analysis method of polarization images of optically anisotropic polycrystalline networks of soft human tissues is effective in detecting and differentiating bruises in the areas of cadaveric spots at different stages of the postmortem interval by conducting a statistical analysis of the values of the statistical moments of 3rd and 4th order.
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