THE AGEING OF BRUISES: A REVIEW AND STUDY OF THE COLOUR CHANGES WITH TIME

THE AGEING OF BRUISES: A REVIEW AND STUDY OF THE COLOUR CHANGES WITH TIME
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瘀伤的老化:颜色随时间变化的回顾和研究

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发表时间:
2003
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通讯作者:
B. Spilsbury
B. Spilsbury
中科院分区:
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作者:
B. Spilsbury

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这项工作的灵感来自于最近一起虐待儿童的案件,其中提出了身体上瘀伤的年龄问题。本文的第一部分回顾了已发表的关于瘀伤的工作。它说明了这一领域的工作很少,也没有对人体皮肤瘀伤随时间的颜色变化进行研究。本文的第二部分包括我们自己对瘀伤外观的研究。目的是确定瘀伤中发生的颜色变化以及时间尺度,以确定瘀伤是否可以通过外观老化。共获得了369张照片的瘀伤年龄< 6小时,长达21天的年龄,在89名年龄为10 - 100岁。发现黄色的发展是最显著的变化(年龄< 65岁的受试者,P < 0.001;年龄265岁的受试者,P < 0.001)。在年龄约65岁的受试者中,黄色的发展明显更快。(P < 0.001)。蓝色和紫色/黑色的外观意义较小。红色外观未随时间发生显著变化。根据本研究,只能得出结论,黄色瘀伤的时间超过18小时。
This work was inspired by a recent case of child abuse where the question of the age of the bruises on the body was raised. The first part of this paper reviews published work on bruises. It illustrates the paucity of work in this field and the absence of studies of the colour changes in bruises of human skin with time. The second part of this paper consists of our own study of the appearance of bruises. The aim was to identify the colour changes which occur in bruises and over what time-scale, in order to determine whether bruises can be aged by appearance. A total of 369 photographs were obtained of bruises aged < 6 h and up to 21 days old, in 89 subjects aged 10 100 years. It was found that the development of a yellow colour was the most significant change (subjects aged < 65, P < 0.001; subjects aged 265 years, P < 0.001). The development of a yellow colour occurred significantly faster in subjects aged ~65 years. (P < 0.001). The appearance of a blue and purple/black colour was of lesser significance. The appearance of a red colour did not alter significantly with time. From this study it was only possible to conclude that a bruise with a yellow colour was more than 18 h old.