Classification of Asphyxia: The Need for Standardization
Classification of Asphyxia: The Need for Standardization
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DOI：
10.1111/j.1556-4029.2010.01459.x
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发表时间：
2010-09-01
影响因子：
1.6
通讯作者：
Boghossian, Elie
中科院分区：
文献类型：
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作者：
Sauvageau, Anny;Boghossian, Elie
窒息的分类和亚型的定义远非统一，从一本教科书到另一本教科书，从一篇论文到下一篇论文，差别很大。不幸的是，类似的研究设计可能会导致完全不同的结果，这取决于所使用的定义。同样称职的法医病理学家对相似的病例有不同的称呼。本研究突出了作者之间的分歧，并试图得出主流的定义，提出一个统一的分类系统。建议将法医学范围内的窒息分为四大类：窒息、勒死、机械性窒息和溺水。窒息分为窒息、窒息和密闭空间/诱捕/污浊的空气。勒死包括三种不同的形式：绳索勒死、绞刑和手工勒死。至于机械性窒息，它包括体位性窒息和创伤性窒息。背后的理论基础，这一建议的统一模型进行了讨论。
The classification of asphyxia and the definitions of subtypes are far from being uniform, varying widely from one textbook to another and from one paper to the next. Unfortunately, similar research designs can lead to totally different results depending on the definitions used. Closely comparable cases are called differently by equally competent forensic pathologists. This study highlights the discrepancies between authors and tries to draw mainstream definitions, to propose a unified system of classification. It is proposed to classify asphyxia in forensic context in four main categories: suffocation, strangulation, mechanical asphyxia, and drowning. Suffocation subdivides in smothering, choking, and confined spaces/entrapment/vitiated atmosphere. Strangulation includes three separate forms: ligature strangulation, hanging, and manual strangulation. As for mechanical asphyxia, it encompasses positional asphyxia as well as traumatic asphyxia. The rationales behind this proposed unified model are discussed.