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颅脑损伤死亡案例的法医病理学分析.pdf
736 West China Medi al Journal, Vol. 25, No. 4 Apr. 20 10 20 10, 25( 4)
许光亚, 李冬日, 廖志钢, 刘敏
( BI) ,
,
1998 1 2008 12 127 BI 127 ,
BI 51 (402% ) , 61 (480% ) , 15 ( 118% ) , 12 h
, 12 h~ 1 , 1
BI , ,
; ; ; ;
R89; R651. 1+ 5 A
Forensic Pathologic Analysis of TraumaticBrain Injury X UGuangya, LI Dongri, LIA OZhigang, LI UMin. De
partment of Forensic Pathology , est China School of Preclinical and Forensic Medicine, Sichuan University ,
Chengdu, Sichuan 6 10041, P.R. China
Corresponding author: LI UMin, Email: liumin@scu. edu. cn
Abstract Objective T o explore the hara t eristi s of forensi pathology in traumati brain injury and the rela
t ionships between se ondary brainstem damage, ompli ations and t he auses of death. Methods 127 ases w ere re
view ed from gender, age, manner of injury , survival t ime and t he dire t auses of death from January 1998 to De em
ber 2008. Results Of the 127 ases, the key dire t ause of death was se ondary brainstem damage, followed by se
vere primarily brain injury and ompli ations. For those w ho died wit hin 12 hours after injury, the dire t ause w as se
vere primarily brain injury; for those w ho survived betw een 12 hours to one week, se ondary brainst em damage was in
the majority of the auses and for those who survive more than one w eek t ime, ompli ation w as an im portant ause.
Conclusion In the ases of t raumati brain injury, w e should take omprehensive and systemati ex aminat ion of foren
si pathology, and refer t o lini al dat a at the same time to determine the dire t ause of death.
Key ords Forensi pat hology ; Brain injuries; Se ondary brainstem damage; Com pli ation; Cause of deat h
( br ain injuries, BI) 1
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