一个肋间后动脉交界处出血的病例--重要征兆?

IF 2.2 3区 医学 Q1 MEDICINE, LEGAL International Journal of Legal Medicine Pub Date : 2024-11-01 Epub Date: 2024-06-11 DOI:10.1007/s00414-024-03261-9
Nicolas Lange-Herr, Joëlle Tschui, Jeremias Klaus, Manuela Baglivo, Emilie Schlottke, Wolf-Dieter Zech
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引用次数: 0

摘要

作者介绍了一名 58 岁男子的病例,他被发现系着鞋带吊在暖气片上。死亡时间大约在尸体被发现前 6 小时。尸体被发现约 24 小时后进行了尸检,发现胸主动脉与后肋间动脉交界处有出血。尸检前进行了常规全身 CT 扫描。对主动脉和后肋间动脉的组织学检查显示,主动脉外膜有新的出血点。据我们所知,文献中还没有关于被绞死者有此类发现的病例描述。结论自杀性上吊可能会导致后肋动脉交界处的侧膜出血。这些出血作为生命迹象的意义可能存在争议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A case of hemorrhage at the junctions of the posterior intercostal arteries-a vital sign?

The authors present the case of a 58-year-old man found hanging from a radiator by his shoelaces. The time of death was approximately 6 h before the body was discovered. An autopsy was performed approximately 24 h after the body was found, which revealed hemorrhages in the thoracic aorta at the junctions of the posterior intercostal arteries. Before autopsy, a routine whole-body CT scan was performed. Histologic examination of the aorta and the posterior intercostal arteries revealed a fresh hemorrhage into the tunica adventitia of the aorta. To our knowledge, there is no case description of such findings in hanged persons in the literature. Conclusion: Hemorrhages into the tunica adventitia of the junction of the posterior costal arteries may occur in association with suicidal hanging. The significance of these hemorrhages as a sign of vitality may be debated.

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来源期刊
CiteScore
5.80
自引率
9.50%
发文量
165
审稿时长
1 months
期刊介绍: The International Journal of Legal Medicine aims to improve the scientific resources used in the elucidation of crime and related forensic applications at a high level of evidential proof. The journal offers review articles tracing development in specific areas, with up-to-date analysis; original articles discussing significant recent research results; case reports describing interesting and exceptional examples; population data; letters to the editors; and technical notes, which appear in a section originally created for rapid publication of data in the dynamic field of DNA analysis.
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