法医学杂志

法医学杂志 ›› 2015, Vol. 31 ›› Issue (1): 15-19.DOI: 10.3969/j.issn.1004-5619.2015.01.004

• 论著 • 上一篇    下一篇

MSCT鉴定交通事故致死2例分析

韩顺琪1，2，万  雷1，秦志强1，邓恺飞1，张建华1，刘宁国1，邹冬华1，李正东1，邵  煜1，陈  敏1，黄  平1，陈忆九1   

  1. （1. 司法部司法鉴定科学技术研究所 上海市法医学重点实验室，上海 200063； 2. 复旦大学上海医学院法医学系，上海 200032）
  • 发布日期:2015-02-25 出版日期:2015-02-28
  • 通讯作者: 陈忆九，男，研究员，博士研究生导师，主要从事法医病理学研究；E-mail：chenyj@ssfjd.cn
  • 作者简介:韩顺琪（1989—），男，安徽马鞍山人，硕士研究生，主要从事法医病理学研究；E-mail：hanshunqi02@163.com
  • 基金资助:

    “十二五”国家科技支撑计划项目（2012BAK16B02）；国家自然科学基金资助项目（81273338、81102300、81401559）；上海市科委社会发展专项（14231202500）；上海市法医学重点实验室资助项目（14DZ2270800）

Application of MSCT in the Identification and Analysis of Traffic Accidents: 2 Fatal Cases

HAN SHUN-QI1,2, WAN LEI1, QIN ZHI-QIANG1, DENG KAI-FEI1, ZHANG JIAN-HUA1, LIU NING-GUO1, ZOU DONG-HUA1, LI ZHENG-DONG1, SHAO YU1, CHEN MIN1, HUANG PING1, CHEN YI-JIU1   

  1. （1. Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, P.R.China, Shanghai 200063, China; 2. Department of Forensic Medicine, Shanghai Medical College, Fudan University, Shanghai 200032, China）
  • Online:2015-02-25 Published:2015-02-28

被引次数

1

摘要： 目的 使用多层螺旋CT（multi-slice spiral computed tomography，MSCT）对交通事故的致伤特征进行观察和分析，探讨MSCT在分析交通事故中的应用价值。 方法 以2例交通事故为对象，运用MSCT平扫、三维重建技术以及心脏穿刺造影技术对尸体进行全面检查，结合尸表检查分析交通伤形成机制等特点。 结果 案例1 MSCT结合心脏穿刺造影，发现死者右心破裂，死亡原因为交通事故挤压胸部致右心破裂、心脏压塞。案例2 MSCT发现左侧躯干部损伤引起脾破裂、腹腔出血，死亡原因为失血合并创伤性休克。 结论 MSCT对于骨骼损伤、软组织损伤、血液改变均具有良好的观察效果，MSCT平扫结合心脏造影有助于诊断心血管系统的损伤。

关键词: 法医病理学, 事故, 交通, 体层摄影术, X线计算机

Abstract: Objective To explore the application value of multi-slice spiral computed tomography （MSCT） in traffic accidents through observing and analyzing the injury features of the accidents. Methods Two fatal cases caused by traffic accidents were fully examined using MSCT, 3D imaging reconstruction and angiography through cardiac puncture. The features of traffic injury mechanism were analyzed through combination of MSCT and postmortem external examination. Results In case 1, right cardiac rupture was found by MSCT and angiography through cardiac puncture. The cause of death was cardiac tamponade and right ventricular rupture due to the crush injury of chest in the traffic accident. In case 2, splenic rupture and intra-abdominal hemorrhage was found and caused by injury of left trunk by MSCT. The cause of death was hemorrhage and traumatic shock. Conclusion MSCT could observe skeletal injury, soft tissue injury, and hematologic disorder well. The combination use of MSCT and angiography through cardiac puncture provided assistance to the diagnosis of cardiovascular system injury.

Key words: forensic pathology, accidents, traffic, tomography, X-ray computed

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