法医学杂志

法医学杂志 ›› 2016, Vol. 32 ›› Issue (6): 428-430.DOI: 10.3969/j.issn.1004-5619.2016.06.008

• 案例分析 • 上一篇    下一篇

65例道路交通事故死亡案例骨盆骨折特征的法医学分析

张  巍   

  1. （中国刑事警察学院法医学系，辽宁 沈阳 110035）
  • 发布日期:2016-12-25 出版日期:2016-12-28
  • 作者简介:张巍（1969—），男，博士，副教授，主要从事法医病理教学、科研和检案工作；E-mail：zhangwei6968@sina.com

Forensic Analysis of the Characteristics of Pelvic Fracture in 65 Road Traffic Accident Death Cases

ZHANG WEI   

  1. （Department of Forensic Medicine, National Police University of China, Shenyang 110035, China）
  • Online:2016-12-25 Published:2016-12-28

被引次数

1

摘要： 目的 分析道路交通事故死亡案例中骨盆骨折的特点及成伤机制。 方法 收集65例发生骨盆骨折的道路交通事故死亡案例，对骨盆骨折的部位、特点、成伤机制等情况进行统计学分析。 结果 65例骨盆骨折案例中，骶髂关节脱位38例，且多合并耻骨联合分离或耻骨骨折；耻骨、坐骨、髋臼骨折主要以线性骨折为主，骶尾骨骨折以粉碎性骨折多见；合并盆腔软组织损伤54例，盆腔器官损伤8例，腹腔器官损伤44例。骨盆环损伤类型中，分离型32例，占49.23%；其次是压缩型，占26.15%；垂直型最少，仅1例，占1.54%。 结论 细致、全面地检验尸体，确定骨盆骨折类型，有助于分析成伤机制。

关键词: 法医病理学, 道路交通事故, 骨盆骨折, 骨盆环, 成伤机制, 案例分析

Abstract: Objective To analyze the characteristics and mechanisms of pelvic fractures in the cases of road traffic accident deaths. Methods Total 65 cases of road traffic accident deaths with pelvic fracture were collected, and the sites, characteristics and injury mechanisms of pelvic fracture were statistically analyzed. Results Among the 65 cases of pelvic fracture, 38 cases of dislocation of sacroiliac joint were found, and most combined with pubis symphysis separation or fracture of pubis. In the fractures of pubis, ischium and acetabulum, linear fractures were most common, while comminuted fractures were most common in sacrum and coccyx fractures. There were 54 cases combined with pelvic soft tissue injury, and 8 cases with pelvic organ injury and 44 cases with abdominal organ injury. In the types of pelvic ring injury, 32 cases were separation, 49.32%, followed by compression, 26.15% and only one case was verticality, 1.54%. Conclusion Detailed and comprehensive examination of the body and determination of the pelvic fracture type contribute to analyze the mechanisms of injury.

Key words: forensic pathology, road traffic accident, pelvic fracture, pelvic ring, injury mechanism, cases analysis

中图分类号: