急性出血坏死性肠炎的法医学鉴定  

Forensic Identification of Acute Hemorrhagic Necrotizing Enteritis

作　　者：文静涛 李景 王文林 罗明胜 罗余炳 洪仕君[3] 

机构地区：[1]云南省普洱市公安局刑事科学技术研究所,云南普洱665000 [2]云南省元谋县公安局刑警大队,云南元谋651300 [3]昆明医科大学法医学院,云南昆明650500

出　　处：《河南科技大学学报（医学版）》2016年第3期226-228,共3页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的结合急性出血坏死性肠炎的尸体解剖案例,探讨该类案例的法医学鉴定要点。方法报道1例急性出血坏死性肠炎的案例,结合文献分析法医学鉴定要点。结果尸体解剖检验所见主要为急性出血坏死性肠炎,局限性化脓性腹膜炎,肠系膜静脉炎、静脉血栓形成等,其他脏器病理组织学变化无特异性,毒药物检验为阴性。结论急性出血坏死性肠炎的法医学鉴定重点检验消化系统,并鉴别其他疾病引起的局部肠道出血性梗死或小肠坏死。Objective To discuss the forensic identification highlights of the case which cause of death was acute hemorrhagic necrotizing enteritis. Methods A death case caused by acute hemorrhagic necrotizing enteritis was reported and the highlights of identification were discussed. Results The positive signs of autopsy were including hemorrhagic necroticans enteritis,local purulent peritonitis,inflammation of vena mesenterica,and thrombosis of vein. There were non-specific signs on others organs including brain,lung,liver,and kidney. The results of toxicant screening were negative. Conclusion The forensic identification highlights of acute hemorrhagic necrotizing enteritis was the digestive system examined carefully during the period of forensic autopsy. Meanwhile,the necrosis of small intestine caused by other diseases should be discriminated and other probabilities should be excluded.

关 键 词：急性出血坏死性肠炎 法医病理学 尸体解剖 

分 类 号：D919.4[医药卫生—法医学]