舌头的大量肌肉内出血是由死引起的
Shojiro Takasu1, Sari Matsumoto1, Yuko Kanto1
1Department of Forensic Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Journal of forensic sciences
|March 26, 2025
概括
巨大的舌头出血可以发生在部压缩时,正如这起死自杀的尸检案例所示. 这种情况会导致舌头胀,可能会导致肺部膨胀.
科学领域:
- 法医病理学 法医病理学
- 医疗成像医学成像
- 人体解剖学 解剖学 解剖学
背景情况:
- 舌头肌内出血是部压缩的一个已知的并发症.
- 由于巨大的舌头胀而导致的气道阻塞以前已经被记录在案.
研究的目的:
- 报告一个尸体解剖案例的大量肌内出血的舌头,由死自杀的结果.
- 在这种情况下,研究可能导致舌头出血的机制.
- 为了为死未遂的幸存者提供临床考虑信息.
主要方法:
- 一位已故的90岁女性的尸检检查.
- 非增强型计算机断层扫描 (CT) 图像,可视化软组织结构.
- 舌头和周围部结构的组织病理学分析.
主要成果:
- 尸检显示,舌头发生了大规模的肌内出血,导致舌头严重胀.
- 计算机断层扫描证实了舌头肌肉内的大量出血.
- 观察到双边 stylohyoid 带骨化,以及肺部膨胀.
结论:
- 吊死自杀可以导致舌头肌内大量出血.
- 这种机制很可能涉及舌骨和静脉压缩对舌头底部的直接压力,这种压力可能会因骨化型舌带而恶化.
- 这种机制对于理解死受害者和幸存者的舌头胀和潜在的呼吸道损伤至关重要.
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