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63例监管场所非暴力性死亡的法医学分析
引用本文:杨嵩民,程亦斌. 63例监管场所非暴力性死亡的法医学分析[J]. 法医学杂志, 2017, 0(5): 509-513. DOI: 10.3969/j.issn.1004-5619.2017.05.013
作者姓名:杨嵩民  程亦斌
摘    要:目的通过收集监管场所非暴力性死亡的案例,分析其法医学特点和相关影响因素。方法收集某鉴定中心2000—2015年间所受理的监管场所在押人员非暴力性死亡案例63例,对其致死性疾病的类型、发病季节、既往病史、临床表现、处理措施及病程进行回顾性分析。结果监管场所因病死亡者以男性居多,高发于中青年人群;主要致死性疾病以心源性死亡居于首位(50.8%),慢性炎性疾病包括胃肠道穿孔、肺结核病、肺炎、肝炎和胰腺炎等数量也较多。夏季是发病高峰,猝然发作的症状为睡眠中急骤发病、突然晕倒,慢性起病的以呕吐、腹痛、乏力、胸闷、气短、发热、纳差等最为常见。结论监管场所的管理制度、监管场所条件、医疗水平和相关知识等仍有改善空间,进行鉴定时需注意健康资料收集、尸体解剖、组织学检查和毒物检验等。


Forensic Analysis of 63 Cases of Non-violent Death Occurred in Custody
Abstract:Objective To collect cases of non-violent death occurred in custody for analyzing the forensic characteristics and related influencing factors.Methods Sixty-three cases of non-violent death among detainees in custody that handled by a forensic science center from 2000 to 2015 were collected.The type,onset season,medical history,clinical manifestation,treatment and duration of related fatal diseases were analyzed retrospectively.Results The deaths due to diseases in custody were common in male,and with a high incidence in middle aged adults.The most common cause of death was cardiac death (50.8%).Chronic inflammatory diseases such as gastrointestinal perforation,pulmonary tuberculosis,pneumonia,hepatitis and pancreatitis,were common.There was a peak incidence in summer.The acute symptoms included sudden onset during sleep and sudden apsychia,and emesis,abdominal pain,fatigue,chest tightness,shortness of breath,fever and anorexia were the most common chronic symptoms.Conclusion The management system,custody condition,medical level and rescue rudiment of custody still need improvements.It should be pay more attention to collecting the information of medical history,autopsy,histological examination and toxicological analysis,etc.
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