法医学杂志 ›› 2018, Vol. 34 ›› Issue (6): 659-664.DOI: 10.12116/j.issn.1004-5619.2018.06.018

• 综述 • 上一篇    下一篇

杀婴的行为特征及法医学鉴定

丁  杨1,鲁  琴1,汪春果2,胡  寅1   

  1. 1. 上海市公安局浦东分局刑事科学技术研究所,上海 220135; 2. 济南市市中区人民检察院,山东 济南 250022
  • 发布日期:2018-12-25 出版日期:2018-12-28
  • 通讯作者: 胡寅,男,主任法医师,主要从事法医病理学研究;E-mail:huyin99@sina.com
  • 作者简介:丁杨(1990—),男,硕士,主检法医师,主要从事法医病理学研究;E-mail:503073239@qq.com

Behavioral Characteristics and Medicolegal Identification of Infanticide

DING Yang1, LU Qin1, WANG Chun-guo2, HU Yin1   

  1. 1. Institute of Criminal Science and Technology, Pudong Branch of Shanghai Public Security Bureau, Shanghai 220135, China; 2. People’s Procuratorate of Shizhong District of Jinan City, Jinan 250022, China
  • Online:2018-12-25 Published:2018-12-28

摘要: 杀婴行为具有隐蔽性,其实际发生率高于统计值,应当引起法医重视。杀婴过程具有共同的行为特征,凶手常为单身、低等教育、缺乏常规孕检、未婚先孕的女性。杀婴案件的法医学鉴定包括活产鉴别和死因鉴定。除经典的肺浮扬试验外,还可利用间质性肺气肿、CT影像学检验、脐带活产标志物的免疫组织化学检查等进行活产鉴别,牙新生线是高度腐败尸体活产鉴别的唯一方法。死因多为机械性窒息和致死性颅脑损伤,其中摇晃婴儿综合征是常见的虐待性颅脑损伤,表现为脑实质病变、硬脑膜下出血、视网膜出血,对可疑的摇晃婴儿综合征尸体进行解剖时,除了仔细检查颈髓外,还应排除病理性颞叶出血的可能。

关键词: 法医病理学, 杀婴, 摇晃婴儿综合征, 综述

Abstract: Due to the concealment and incidence higher than reported statistics, infanticide should attract the attention of legal medical experts. The infanticide process has common behavioral characteristics. The perpetrators are most frequently biological mothers who are unmarried, with inferior education, and lack of routine pregnancy tests. Medicolegal identification of infanticide cases includes identification of live births and causes of death. Besides the classical lung floating test, there are other methods to identify live births such as pulmonary interstitial emphysema, CT imaging examination, immunohistochemical examination of umbilical cord vitality markers. Neonatal line measurement is the only way to identify live births in corpse with severe decomposition. The main causes of death in infanticide are mechanic asphyxia and fatal head trauma. Shaken baby syndrome, as a common abusive head trauma, is pathologically characterized by the triad of encephalopathy, subdural haemorrhage (SDH) and retinal haemorrhage (RH). During the autopsy of suspected shaking baby syndrome, in addition to carefully examining cervical cord, the possibility of pathological temporal lobe hemorrhage should also be ruled out.

Key words: forensic pathology, infanticide, shaken baby syndrome, review