法医尸检过程中易出现的人为误判  

Misjudgments easily occurred in forensic autopsies

作　　者：王尧[1] 杜琳敏 汪家文[1] WANG Yao;DU Linmin;WANG Jiawen(Department of Forensic Medicine,Guizhou Medical University,Guiyang,Guizhou 550004,China;Department of Gastroenterology,Affiliated Hospital of Guizhou Medical University,Guiyang,Guizhou Procince 550004,China)

机构地区：[1]贵州医科大学法医学院,贵阳550004 [2]贵州医科大学附属医院消化内科,贵阳550004

出　　处：《重庆医学》2020年第14期2380-2382,2389,共4页Chongqing medicine

基　　金：国家自然科学基金项目(81660309);贵州省科技厅基金项目(黔科合平台人才[2018]5779-3);贵州医科大学博士启动基金项目(YJ2016-10)。

摘　　要：目的分析尸检过程中容易出现的因人为因素所致法医误判的原因。方法总结检案中出现并被纠正的8例相关案例,分析其出现的原因。结果4例误判由生前人为因素导致:生前或濒死期抢救致肋骨骨折、肺动脉血栓栓子破碎;4例误判由发生死后变化导致:死后胰腺自溶现象、高度腐败尸体的腐败水泡被认为皮下出血等。结论在法医尸检过程中,人为因素容易引起错误的死因分析,应引起尸体解剖工作者高度的注意,并且要进行规范的尸体解剖操作。Objective To analyze the causes of forensic physicians′misjudgments in forensic autopsies that are prone to anthropic factor.Methods The eight relevant inspection cases that appeared and finally corrected were summarized to analyse the reasons.Results Misjudgments of four cases were prone to the anthropic factors,including anterior rib fractures caused by rescue before or near death and pulmonary artery thromboembolism ruptured.Misjudgments of the other four cases were prone to postmortem changes,including the autolysis of pancreas after death and corrupt blisters in highly corrupted bodies judged as subcutaneous bleeding.Conclusion In the process of forensic autopsy,anthropic factors can easily lead to wrong analysis of the cause of death,which should arouse the attention of autopsy physicians and carry out standardized autopsy operations.

关 键 词：法医病理学 人为因素 尸体解剖 误判 

分 类 号：R361[医药卫生—病理学]