中山大学学报（医学科学版）2025，Vol.46Issue(1)：81-87,7.
640例死因中救治伤和濒死期损伤的回顾性分析
A Retrospective Study of Rescue Injuries and Agonal Injuries in 640 Death Cases
摘要
Abstract
[Objective]To clearly identify the difference between rescue injuries and agonal injuries and to avoid duplicate identifications and misidentifications.[Methods]Based on the forensic pathological data of 5 923 cases of death cause identification from 2013 to 2022 in Sun Yat-sen University Forensic Identification Center and Guangzhou Tianhe District Branch of Guangzhou Public Security Bureau,this study retrospectively studied the characteristics of rescue injuries and agonal injuries seen in cause of death identification and their influence on cause of death identification.[Results]Among all the 5 923 cases,640 cases were found to have rescue injuries or agonal injuries,and 624 cases received treatment,of which 609 cases were found to have rescue injuries(97.60%),44 cases were found to have agonal injuries,and 13 cases were found to have both types of injuries.Among the 640 cases,441 were male and 199 were female.The age of death was discontinuously distributed from 0 to 95 years old.The leading cause of death was disease,followed by mechanical injury and asphyxia.The main manifestations of rescue injuries were rib and sternum fractures,soft tissue injuries in the prechest area or face,and pericardial rupture.The most common injuries in agonal stage were falling after unconsciousness,inhalation of foreign body in respiratory tract or multiple violent injuries.Among the 640 cases,19 cases were repeatedly identified,including 15 cases of rescue injuries,6 cases of agonal injuries,and 2 cases of both types of injuries.Compared with the cases where neither type of injuries was detected,the repeated identification rate of treatment injuries and agonal injuries was significantly increased(χ2=4.04,P=0.044;χ2=43.49,P<0.001).Among the 640 cases,11 cases(1.72%)were misidentified as the initial injuries in the first identification,and 13 cases had combined rescue injuries or agonal injuries that were involved in death.[Conclusions]By elucidating the epidemiological characteristics of the two types of injuries,this study proved that the two types of injuries were associated with higher rates of repeated identification and misidentification,which provided a reference for reducing repeated identification and misidentification and improving the accuracy of cause of death identification.关键词
死因鉴定/救治伤/濒死期损伤/重复鉴定/法医病理学Key words
identification of cause of death/rescue injuries/agonal injuries/duplicate identification/forensic pathology分类
政治法律引用本文复制引用
李暄仪,吕国丽,杨文,吴春雷,刘小山,罗斌,廖信彪,黄二文..640例死因中救治伤和濒死期损伤的回顾性分析[J].中山大学学报（医学科学版）,2025,46(1):81-87,7.基金项目
国家重点研发计划课题(2023YFC3303902) （2023YFC3303902）
