246例高坠案件中坠落高度与损伤分析  

Analysis of falling height and trauma in 246 cases of fatal fall

作　　者：陆雪松[1] 戴建宇[2] 李峰[3] 贾海鹏[4] 崔波[2] 张勇[2] 张晗[5] Lu Xuesong Dai Jianyu Li Feng Jia Haipeng Cui Bo Zhang Yong Zhang Han(Criminal Science Institute, Pudong district of Shanghai Municipal Public Security Bureau, Shanghai 200135, China Wuhan Police Bureau Jiang＇an Branch, Wuhan 430000, China George Washington University, Washington DC 20052, USA Wuhan Police Bureau Qiaokou Branch, Wuhan 430000, China Hong Kong Baptist University, Hong Kong 999077, China)

机构地区：[1]上海市公安局浦东分局刑事科学技术研究所,上海200125 [2]武汉市公安局江岸区分局,湖北武汉430000 [3]乔治华盛顿大学,美国华盛顿22052 [4]武汉市公安局硚口区分局,湖北武汉430000 [5]香港浸会大学,中国香港999077

出　　处：《中国法医学杂志》2016年第5期480-481,484,共3页Chinese Journal of Forensic Medicine

摘　　要：目的对高坠案件进行统计分析,为相关鉴定研究提供参考。方法收集上海市浦东地区最近十年来记录有坠落距离的246例高坠案件,对人体损伤的特点进行比较分析。结果自杀高坠的高度显著高于意外高坠的高度(25.70m:13.98m);所有高坠中,头部损伤概率较高(75.2%),颈部损伤概率较低(6.5%);意外高坠的头部损伤概率高于自杀组(89.4%:75.2%)。结论意外高坠的死者比自杀高坠的死者更缺乏四肢对于头部的保护;过低的颈部损伤发现率提示国内法医工作者应该更加重视在高坠案件中的对于颈部损伤的检查。Objective To analyze the characteristic of trauma in 246 fatal falls. Methods We collect 246 cases of fatal falls from Pudong district of Shanghai from 2005 to 2014, and then analyze the characteristics of trauma by using different parameters. Results The height in suicides by fall is higher than accidents by fall（25.7m：13.98m）. In all fatal falls, head has a higher possibility in suffering trauma than other body regions（75.2%）, while neck has a lower possibility（6.5%）. The possibility of head trauma in accidents by fall is higher than suicides by fall（89.4%：75.2%）. Conclusion Comparing with suicides by fall, victims in accidents by fall have lack of protection from limbs. Besides, the low rate of finding neck trauma suggests legal physicians should be more careful in examining this area.

关 键 词：法医损伤学 高坠 骨折 尸表检验 

分 类 号：D919.4[医药卫生—法医学]