Benefit of postmortem whole body computed tomography in traffic accident victims.
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概要
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This prospective study was designed to evaluate postmortem computed tomography (CT) examination of motor vehicle accident fatalities as a possible means of compensating for the limited availability of forensic autopsy material in Japan. During a one-year research period, postmortem plain X-ray and whole-body CT were performed in eleven subjects who died before or immediately after medical intervention in the hospital. Five of the patients were in cardio-pulmonary arrest when they arrived at the hospital by ambulance 11 to 28 minutes after the accidents. In ten of the eleven subjects postmortem CT provided reliable evidence of twenty critical or lethal conditions consisting of brain injury (n=7), cervical spinal cord injury (n=1), respiratory failure caused by injuries to the respiratory system (n=4), massive peritoneal hemorrhage (n=1), and air embolism (n=7). Physical examination revealed only six of twenty critical conditions diagnosed by CT, all of which were brain injuries, and postmortem plain X-ray revealed five additional critical conditions, while the remaining nine were revealed by postmortem CT. Although further should be conducted to compare CT findings with the definitive standard, autopsy, the results indicate that postmortem whole-body CT is extremely effective in detecting fatal injuries when forensic autopsy is not available, and probably useful when it is combined with autopsy.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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