Accidental Fatal Hypothermia in Elderly People with Alzheimer's Disease

Accidental Fatal Hypothermia in Elderly People with Alzheimer's Disease
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患有阿尔茨海默氏病的老年人意外致命低温

DOI:
10.1258/rsmmsl.43.2.127
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发表时间:
2003
期刊:
Medicine, Science and the Law
影响因子:
--
通讯作者:
H. Shojo
H. Shojo
中科院分区:
--
文献类型:
--
作者:
K. Kibayashi;H. Shojo

文献摘要

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我们报告两例法医尸检致命的意外低温在一个89岁的妇女和一个76岁的男子谁被发现死亡和脱衣。两例患者均通过神经病理学检查诊断为阿尔茨海默病(AD)。由于AD引起的流浪被确定为这些事故的原因。虽然已知低体温患者脱衣服是由于寒冷暴露造成的,但在我们的患者中,脱衣服是由于他们在体温过低之前因阿尔茨海默病引起的痴呆。这些病例表明,神经病理学检查对于确定此类事故的原因至关重要,并且在老年受害者中,脱衣服并不总是体温过低的结果。
We report two forensic autopsy cases of fatal accidental hypothermia in an 89-year-old woman and a 76-year-old man who were found dead and unclothed. In both cases, Alzheimer's disease (AD) was diagnosed by neuropathological examination. Wandering due to AD was determined as the cause of these accidents. Although paradoxical undressing in hypothermic victims is known to occur as a result of cold exposure, in our patients, undressing was attributed to dementia due to AD before they became hypothermic. These cases indicate that neuropathological examination is crucial to determining the cause of such accidents and that undressing is not always the result of hypothermia in elderly victims.