The Establishment of diagnosis and the forensic pathological study on death in the cold.

对221例致死性低温(152例尸检和69例尸检)进行了评估。男126例，女95例。1)在221例中，128例(152例尸检中63例，69例尸检中65例)采集了左、右室血。2)175例尸检中84例(48.0%)观察到一级冻伤(凝固性红斑)。3)69例尸检中有34例(49.3%，男16例，女18例)出现Wischnewski斑。4)221例尸检中33例(20.4%，男33例，女12例)出现反常脱衣现象。5)120例尸检中42例和50例尸检中38例检测到酒精浓度酒精分别为20例和19例。因此，170例中有39例(22.9%)检出酒精。6)221例中有21例(4例尸检和17例尸检)检测了药物/毒物，7例检出了药物。7)检测了20例低温死亡尸检时各器官热休克蛋白(HSP)的表达。肝、肾、肺和胰腺的染色显示Ub在细胞质和细胞核中有高水平的表达。

A total of 221 cases of fatal hypothermia (152 necropsy cases and 69 autopsy cases) were evaluated. There were 126 malas and 95 females.1)Blood samples from the right and left ventricles were collected in 128 of the 221 cases (63 of the 152 necropsy cases and 65 of the 69 autopsy cases). Differences in color between blood samples from the two ventricles were observed in 48 (76.2%) of the 63 necropsy cases and 62 (95.4%) of the 65 autopsy cases.2)First degree frostbite (congelation erythematosa) observed in 84 (48.0%) of 175 cases.3)Wischnewski's spots were observed in 34 (49.3%, 16 males and 18 females) of 69 autopsy cases.4)Paradoxical undressing was observed in 33 (20.4%, 33 males and 12 females) of the 221cases.5)The alcohol concentration was detected in 42 of 120 necropsy cases and 38 of 50 autopsy cases, and alcohol in 20 and 19 cases, respectively. Thus, alcohol was detected in 39 (22.9%) of a total of 170cases.6)Drugs/poisons were examined in 21 (4 necropsy cases and 17 autopsy cases) of 221 cases, and drugs were detected in 7cases.7)To examine the expression of heat shock protein (hsp) in each organ on autopsy in 20 deaths from hypothermia. Staining of the liver, Kidneys, lungs and pancreas revealed a high level of Ub expression in the cytoplasm and nuclei.