法医学杂志 ›› 2020, Vol. 36 ›› Issue (1): 61-65.DOI: 10.12116/j.issn.1004-5619.2020.01.012

• 案例分析 • 上一篇    下一篇

73例缢死及勒死案例的回顾性分析

皮之云1, 邢豫明1,2, 程宝文1,3   

  1. 1. 昆明医科大学法医学院,云南 昆明 650500; 2. 云南省公安厅刑侦总队,云南 昆明 650100; 3. 云南警官学院,云南 昆明 650223
  • 发布日期:2020-02-25 出版日期:2020-02-28
  • 通讯作者: 程宝文,男,博士,主任法医师,硕士研究生导师,主要从事法医物证学、群体遗传学研究;E-mail:ggcbw@vip.sina.com
  • 作者简介:皮之云(1993—),女,硕士研究生,主要从事法医病理学研究;E-mail:499582976@qq.com

Retrospective Analysis of 73 Hanging and Ligature Strangulation Cases#br#

PI Zhi-yun1, XING Yu-ming1,2, CHENG Bao-wen1,3   

  1. 1. Department of Forensic Medicine, Kunming Medical University, Kunming 650500, China; 2. Yunnan Provincial Public Security Department, Kunming 650100, China; 3. Yunnan Police College, Kunming 650223,China
  • Online:2020-02-25 Published:2020-02-28

摘要: 目的 对昆明市40例缢死及33例勒死案例进行回顾性分析,主要研究缢死及勒死尸体的颈部损伤特征、相关窒息征象的异同,以期为法医学鉴定提供参考。 方法 收集昆明市公安局2000—2017年受理的缢死及勒死案例资料,对缢死及勒死的死者性别、年龄、致伤工具、颈部损伤、相关窒息征象的数据经SPSS 23.0进行统计检验。 结果 男性缢死者多于女性,女性勒死者多于男性,缢死者平均年龄大于勒死者。缢死自杀多见,他杀罕见;勒死他杀多见,自杀或意外少见。缢沟多位于甲状软骨上方,勒沟多位于甲状软骨水平。索沟处表皮剥脱或皮下出血是最常见的生活反应,在缢死者中常见。勒死者舌骨骨折率高于缢死者。 结论 死者性别及年龄分布、索沟的位置、索沟处生活反应检出率、舌骨骨折率有助于区别缢死与勒死。

关键词: 法医病理学, 机械性窒息, 缢死, 勒死, 案例分析

Abstract: Objective To retrospectively analyze 40 cases of hanging and 33 cases of ligature strangulation in Kunming, to explore the neck injury characteristics and similarities and differences of related asphyxia signs of corpses in hanging and ligature strangulation cases, in order to provide reference for forensic identification. Methods Statistics of hanging and ligature strangulation cases accepted by Kunming Municipal Public Security Bureau from 2000 to 2017 were collected. Data including the gender, age, injury tool, neck injury and related asphyxia signs of the deceased in hanging and ligature strangulation cases were statistically tested by SPSS 23.0. Results There were more males in hanging cases than females. However, there were more females than males in ligature strangulation cases. In hanging cases, suicide was common, while homicide was rare. In ligature strangulation cases, homicide was common, while suicide or accidental death was rare. The average age of the deceased in hanging cases were older than those in ligature strangulation cases. The ligature mark in hanging was usually above the thyroid cartilage. The ligature mark in ligature strangulation was usually at the same level of the thyroid cartilage. The most common vital reactions were exfoliation and subcutaneous hemorrhage at the ligature mark, common among the deceased in hanging cases. Hyoid fracture rate of the deceased in ligature strangulation cases was more common than those in hanging cases. Conclusion The gender, age distribution, position of ligature mark, detection rate of vital reactions at the ligature mark and hyoid fracture rate of the deceased can help distinguish hanging from ligature strangulation.

Key words: forensic pathology, mechanical asphyxia, hanging, ligature strangulation, cases analysis