法医学杂志

法医学杂志 ›› 2009, Vol. 0 ›› Issue (4): 276-278.

• 论文 • 上一篇    下一篇

574例高坠死亡案件分析

毛士伟;刘锡杰;苏昌沛;张敏;沐志强;徐小龙;王振原;   

  1. 西安交通大学医学院法医系;荆州市公安局;泉州市人民检察院;永春县公安局;成都市公安局锦江分局;西安市公安局碑林分局;深圳市公安局龙岗分局;
  • 发布日期:2009-08-25 出版日期:2009-08-28

Analysis of 574 cases of High-Fall Death

MAO SHI-WEI1,2, LIU XI-JIE3, SU CHANG-PEI4, ZHANG MIN5, MU ZHI-QIANG6, XU XIAO-LONG7, WANG ZHEN-YUAN1 (1. DEPARTMENT OF FORENSIC MEDICINE, MEDICAL COLLEGE, XI′AN JIAOTONG UNIVERSITY, XI′AN 710061, CHINA; 2. JINGZHOU PUBLIC SECURITY BUREAU, JINGZHOU 434000   

  • Online:2009-08-25 Published:2009-08-28

被引次数

9

摘要： 目的通过对大量高坠死亡案件的现场分析、尸体的损伤形态学观察并结合案情调查资料,构建高坠案件法医病理学案例库,为研究疑难坠落死亡案件奠定基础。方法收集并回顾分析5省市574例高坠死亡案件资料,包括死者个人信息、现场勘查资料、尸检结果、精神疾病史和毒物检验结果。结果男性的意外死亡率明显高于女性;在0～10岁年龄组未见自杀案例;在60岁以上年龄组,自杀率明显高于意外死亡;大多数的意外案例都发生在工作地点;坠落高度在10m以下的案例中,落地最先接触部位以头部居多,而在10～25m高度,足或下肢多见。结论大多数高坠案例都有明确的结论,但部分案例成伤机制及死亡方式判断呈现明显分歧,应为今后坠落伤研究的重点方向。

关键词: 法医病理学, 创伤和损伤, 坠落伤

Abstract: Objective To establish a database of high-fall death cases for future forensic study and prac- tice, based on the scene investigation, injury characteristics and other informations. Methods Five hundred and four cases of high-fall death from 5 provinces and cities were included in the study. Data including personal information of the deceased, scene investigation, autopsy findings, history of mental illness and the results of toxicology were collected and analyzed. Results The male accidental death rate was significantly higher than that of female. No case of suicide was found in the 0-10 age group, while the suicide rate was apparently higher in the 60 years or over age group than that of accident. Most of the accident cases occurred at workplace, with head landing first and foot or lower-extremity landing first observed from height below 10 m and between 10-25 m, respectively. Conclusion The majority of cases have obvious conclusions. A substantial set of the cases, however, is still difficult to determine the mechanism of injury and the manner of death. So further study should be performed.

Key words: forensic pathology, wounds and injuries, fall injury