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交通事故致不同损伤部位与死亡速度相关性分析

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目的 通过对交通事故造成的不同损伤部位与伤者死亡速度之间相关性进行研究,为案件分析和事故处理提供参考.方法 收集 2017~2021 年共计 2 830 例案件,基于灰色理论,利用SPSSPRO进行相关性分析.结果 不同损伤部位在各组间具有显著性差异(P<0.05),在即时死亡组案件中,相关性最高的是枕叶(r = 0.868);急性死亡组中相关性最高的是脑干及脊髓(r = 0.873);亚急性死亡组中相关性最高的是脑干及脊髓(r = 0.735);慢性死亡组相关性最高的是额叶(r = 0.9).结论 不同的损伤部位与死者的死亡速度之间相关程度不同,即时死亡案件多与枕叶受损相关,急性死亡和亚急性死亡多与脑干和脊髓损伤相关,慢性死亡多与额叶受损相关.该结论可以为法医工作者处理交通事故等相关案件提供参考.
A correlation analysis between the various injury sites and the survival period after injury caused by traffic accidents
Objective To explore the correlation between the various injury sites caused by traffic accidents and the survival period after injury,providing references for case analysis and accident handling.Methods A retrospective analysis was conducted on a total of 2 830 cases from 2017 to 2021,using SPSS 26.0 software for data analysis.When P<0.05,it was statistically significant.The SPSSPRO was used for correlation analysis based on the grey theory.Results There are significant differences in the most correlated injury sites among various survival period groups.In the immediate death group,the most correlated injury site was occipital lobe(r = 0.868);The most correlated injury sites in the acute death group were brain stem and spinal cord(r = 0.873);The most correlated injury sites in the subacute death group were brain stem and spinal cord(r = 0.735);The most correlated injury site in the chronic death group was frontal lobe(r = 0.9).Conclusion There are differences in the degree of association between the survival period after injury and the various injury sites.Immediate death cases are mostly related to occipital lobe injury,acute and subacute deaths are mostly related to brainstem and spinal cord injury,and chronic deaths are mostly caused by frontal lobe injury.This result can provide reference for forensic experts to handle cases relating to traffic accidents.

Forensic pathologyThe site of the injuryDeath speedGrey theory analysisRoad traffic accidents

史俊展、付刚、姚泽伟、韦铭菲、葛静晨、秦豪杰、李凡

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河南科技大学基础医学与法医学院,河南科技大学司法鉴定中心,河南 洛阳 471023

河南金剑司法鉴定中心,河南 洛阳 471000

法医病理学 损伤部位 死亡速度 灰色理论分析 道路交通事故

2024

中国法医学杂志
中国法医学会

中国法医学杂志

CSTPCD
影响因子:0.352
ISSN:1001-5728
年,卷(期):2024.39(2)
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