愈合的编年史:揭开法医病理学中磨损和撕裂年代测定的秘密

Mahaveer Choyal, Priyanka Bansod, P. C. Vyas, GURUSHARAN KOODI
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摘要

目的:在法医病理学领域,了解伤害发生的时间线至关重要。本研究题为 "愈合编年史:揭开法医病理学中磨损和撕裂定年的秘密 "为题,开展了一项尸检调查,通过对钝器伤进行大体和组织病理学检查来评估伤口定年。研究方法对 119 个病例中的 195 个样本进行了仔细检查,以确定钝器伤后发生各种大体变化和显微改变的时间。研究范围包括擦伤、挫伤和撕裂伤,发生时间从 0 小时到最长 45 天不等:研究结果表明,擦伤的大体变化与相应的微观变化密切相关,而挫伤也表现出类似的相关性,只是在外观上颜色偏蓝。在撕裂伤中,相关性主要体现在损伤的早期阶段。结论重要的是,该研究强调了合并症对愈合过程的重大影响,突出了对此类病例进行谨慎评估的必要性。研究得出结论,仅靠肉眼检查不足以精确确定损伤的时间,因此强调了组织病理学检查的重要性,以确保对损伤年龄做出准确的结论。
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CHRONICLES OF HEALING: UNVEILING THE SECRETS OF ABRASION AND LACERATION DATING IN FORENSIC PATHOLOGY
Objective: In the field of forensic pathology, understanding the timeline of injury occurrence is of paramount importance. This study, titled "Chronicles of Healing: Unveiling the Secrets of Abrasion and Laceration Dating in Forensic Pathology," conducted a postmortem investigation to assess wound dating by gross and histopathological examination of blunt injuries. Methods: A total of 195 case samples from 119 cases were scrutinized to establish the timing of various gross changes and microscopic alterations that transpire following blunt trauma. The study encompassed abrasions, contusions, and lacerations occurring within a time frame ranging from 0 h to a maximum of 45 d. Results: The findings revealed that the gross changes in abrasions closely correlated with the corresponding microscopic changes, while contusions exhibited a similar correlation, except for a variation in the appearance of bluish color. In lacerations, the correlation was primarily evident during the early stages of injury. Conclusion: Importantly, the study emphasized the substantial impact of comorbid conditions on the healing process, highlighting the need for cautious evaluation in such cases. The study concludes that naked eye examination alone is insufficient for precise injury dating, underscoring the importance of histopathological examination to ensure accurate conclusions regarding injury age.
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