节点文献
MSCT诊断交通事故致颈椎挥鞭样损伤1例及文献复习(英文)
Postmortem MSCT Diagnosis of Whiplash Injuries in a Traffic Accident:A Case Report and Review of the Literature
【摘要】 一名45岁的男性机动车驾驶人在一起高速道路上四车追尾碰撞事故中死亡。现场被人发现时呼吸、心搏已经停止。尸表检查未发现体表损伤,由于当地风俗习惯,其家属并不同意行尸体解剖。因此进行了多层螺旋CT(multi-slice computed tomography,MSCT)检查,发现其第3~4颈椎椎体Ⅱ度脱位,第4颈椎椎板骨折并致相应椎管狭窄。死后MSCT扫描的结果确认其形成颈部挥鞭样损伤。因此,MSCT扫描可用于显示颈部挥鞭样损伤的严重程度,为法医学鉴定提供有效的客观依据。
【Abstract】 A 45-year-old male car driver died in a traffic accident of four cars rear-end collision on the highway.He was found to have died after a respiratory and cardiac arrest at the scene.No sign of skin injuries was observed from the external inspection.The autopsy was not permitted by the family members because of the local culture.Multislice computed tomography(MSCT) was applied to the current case,showing dislocation of C3~4cervical vertebrae with Ⅱ degree,C4vertebral plate fractures,and spinal stenosis.Post-mortem MSCT confirmed the diagnosis as whiplash injuries.MSCT was verified to be effective in showing the severity of whiplash injuries,thus providing certain objective evidence for medicolegal expertise.
【Key words】 forensic pathology; accidents,traffic; whiplash injuries; multislice computed tomography;
- 【文献出处】 法医学杂志 ,Journal of Forensic Medicine , 编辑部邮箱 ,2014年02期
- 【分类号】D919
- 【被引频次】2
- 【下载频次】106