Postmortem computed tomography findings as evidence of traffic accident-related fatal injury
Postmortem computed tomography findings as evidence of traffic accident-related fatal injury
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尸检计算机断层扫描结果作为交通事故相关致命伤害的证据
DOI：
10.1007/s11604-007-0223-6
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发表时间：
2008
影响因子：
--
通讯作者：
Hideyuki Hayakawa
中科院分区：
文献类型：
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作者：
S. Shiotani;M. Shiigai;Yukihiro Ueno;Namiko Sakamoto;S. Atake;M. Kohno;Masatsune Suzuki;H. Kimura;Kazunori Kikuchi;Hideyuki Hayakawa
在日本，大多数创伤性死亡是由于非穿透性损伤，特别是那些由交通事故引起的创伤性死亡;然而，交通事故相关死亡的尸检率仅为5%左右。我们调查了尸检计算机断层扫描（PMCT）的诊断能力在交通事故后致命的创伤的情况下，Materials and MethodsOur subjects是78例（59名男性，19名女性;平均年龄50岁，范围15-87岁）谁被带到我们的机构在心肺骤停交通事故后到达，尽管复苏尝试死亡。根据简明损伤量表（AIS）的严重程度，将PMCT发现的头部、颈部、胸部、腹部和骨盆损伤分为三级：A：1（轻微），2（中度）; B：3（严重）、4（重度）、5（临界）; C：结果78例颅脑损伤中A/B/C比值为32/60/8，41例颈部损伤为83/5/12，76例胸部损伤为5/38/57，腹部伤70/24/7，骨盆伤79/21/0。结论PMCT在诊断交通事故后死亡原因时，可发现或推测致命性创伤
PurposeMost traumatic deaths in Japan are due to nonpenetrating injuries, especially those that result from traffic accidents; however, the autopsy rate of traffic accident-related deaths is only about 5%. We investigated the diagnostic ability of postmortem computed tomography (PMCT) in cases of fatal trauma after traffic accidents.Materials and methodsOur subjects were 78 subjects (59 males, 19 females; mean age 50 years, range 15–87 years) who were brought to our institution in cardiopulmonary arrest on arrival after traffic accidents and died despite resuscitation attempts. PMCT findings of damage to the head, neck, thorax, abdomen, and pelvis were classified into three grades according to the Abbreviated Injury Scale (AIS) severity: A: 1 (minor), 2 (moderate); B: 3 (serious), 4 (severe), 5 (critical); C: 6 (maximum).ResultsThe percentage ratio of A/B/C in 78 head injuries was 32/60/8, in 41 neck injuries 83/5/12, in 76 thorax injuries 5/38/57, in 76 abdominal injuries 70/24/7, and in 76 pelvic injuries 79/21/0, respectively.ConclusionPMCT can detect or presume fatal trauma when diagnosing the cause of death after traffic accidents
日本尸检成像和计算机辅助诊断
DOI：
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发表时间：
2005
期刊：
Abstract of 6th International Symposium on Advances in Legal Medicine(ISALM) 6・1
影响因子：
--
作者：
EzawaH;KobatakeH
通讯作者：
KobatakeH