法医学杂志

法医学杂志 ›› 2017, Vol. 33 ›› Issue (5): 509-513.DOI: 10.3969/j.issn.1004-5619.2017.05.013

• 案例分析 • 上一篇    下一篇

63例监管场所非暴力性死亡的法医学分析

杨嵩民1，程亦斌2   

  1. 1. 登封市公安局刑侦支队，河南 郑州 452470； 2. 司法鉴定科学研究院 上海市法医学重点实验室 上海市司法鉴定专业技术服务平台，上海 200063
  • 发布日期:2017-10-25 出版日期:2017-10-28
  • 通讯作者: 程亦斌，男，主任法医师，主要从事法医临床学科研及鉴定；E-mail：chengyb@ssfjd.cn
  • 作者简介:杨嵩民（1971—），男，副主任法医师，主要从事法医学鉴定及研究；E-mail：306469807@qq.com

Forensic Analysis of 63 Cases of Non-violent Death Occurred in Custody

YANG SONG-MIN1, CHENG YI-BIN   

  1. 1. Detachment of Criminal Investigation, Dengfeng Public Security Bureau, Zhengzhou 452470, China; 2. Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai 200063, China
  • Online:2017-10-25 Published:2017-10-28

摘要： 目的 通过收集监管场所非暴力性死亡的案例，分析其法医学特点和相关影响因素。 方法 收集某鉴定中心2000—2015年间所受理的监管场所在押人员非暴力性死亡案例63例，对其致死性疾病的类型、发病季节、既往病史、临床表现、处理措施及病程进行回顾性分析。 结果 监管场所因病死亡者以男性居多，高发于中青年人群；主要致死性疾病以心源性死亡居于首位（50.8%），慢性炎性疾病包括胃肠道穿孔、肺结核病、肺炎、肝炎和胰腺炎等数量也较多。夏季是发病高峰，猝然发作的症状为睡眠中急骤发病、突然晕倒，慢性起病的以呕吐、腹痛、乏力、胸闷、气短、发热、纳差等最为常见。 结论 监管场所的管理制度、监管场所条件、医疗水平和相关知识等仍有改善空间，进行鉴定时需注意健康资料收集、尸体解剖、组织学检查和毒物检验等。

关键词: 法医病理学, 猝死, 死亡原因, 监管场所, 案例分析

Abstract: Objective To collect cases of non-violent death occurred in custody for analyzing the forensic characteristics and related influencing factors. Methods Sixty-three cases of non-violent death among detainees in custody that handled by a forensic science center from 2000 to 2015 were collected. The type, onset season, medical history, clinical manifestation, treatment and duration of related fatal diseases were analyzed retrospectively. Results The deaths due to diseases in custody were common in male, and with a high incidence in middle aged adults. The most common cause of death was cardiac death （50.8%）. Chronic inflammatory diseases such as gastrointestinal perforation, pulmonary tuberculosis, pneumonia, hepatitis and pancreatitis, were common. There was a peak incidence in summer. The acute symptoms included sudden onset during sleep and sudden apsychia, and emesis, abdominal pain, fatigue, chest tightness, shortness of breath, fever and anorexia were the most common chronic symptoms. Conclusion The management system, custody condition, medical level and rescue rudiment of custody still need improvements. It should be pay more attention to collecting the information of medical history, autopsy, histological examination and toxicological analysis, etc.

Key words: forensic pathology, sudden death, cause of death, custody, case analysis

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