An autopsy case report of tramline bruises with various shapes -histological and mechanistic considerations
An autopsy case report of tramline bruises with various shapes -histological and mechanistic considerations
复制标题
各种形状的电车线瘀伤尸检病例报告——组织学和机械学考虑
DOI：
10.1016/j.jflm.2022.102452
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发表时间：
2022
影响因子：
1.5
通讯作者：
Yukawa N
中科院分区：
文献类型：
--
作者：
Shinkawa N;Kakizaki E;Sonoda A;Yukawa N
一个尸检案件涉及一个孩子显示各种形状的电车线瘀伤所造成的单一武器的描述。尸检时，发现多处不同方向的擦伤，主要在背部。这些挫伤的形态多样，包括线状、弓形、结节状、钩状和末端有结的钩状。由于存在严重的皮下损伤，并且没有其他潜在的致命伤害或疾病，我们确定死亡原因是创伤性休克。在显微镜下，在许多条状瘀伤中，在右腹部和左腰部区域观察到特征性瘀伤。在真皮中观察到这些擦伤，对应于肉眼可见的擦伤。皮下组织中也观察到出血，对应于外表面苍白。在这种情况下，发生在真皮和皮下组织中的tramline瘀伤的机制进行了讨论，参考文献。我们还提出了皮下和皮内出血类型的电车线瘀伤。
An autopsy case involving a child showing various shapes of tramline bruises caused by a single weapon is described. On autopsy, multiple tramline bruises in different orientations were found, mainly on the back. Shapes of the tramline bruises were variable, including linear, arcuate, nodular, hook-like, and hook-like with a knot at the end. Due to the presence of severe subcutaneous hemorrhages and the absence of other potentially fatal injuries or diseases, we determined the cause of death to be traumatic shock. Microscopically, of the many tramline bruises, characteristic hemorrhages were observed on the right abdominal and left lumbar regions. Those hemorrhages were observed in the dermis, corresponding to macroscopic tramline bruises. Hemorrhage was also observed in the subcutis, corresponding to the pallor of the outer surface. The mechanisms by which tramline bruises occurred in the dermis and subcutis in this case are discussed with reference to the literature. We also propose subcutaneous and intradermal hemorrhagic types of tramline bruising.