法医学分析车内致命交通事故中驾驶员头部损伤

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背景。在与车内伤害相关的法医学鉴定中,法医专家的主要任务之一是确定损伤形成的机制、严重程度及受害者的位置。这通常需要解决与颅脑损伤形成机制、形态学特征及其严重程度相关的问题。

研究目的。研究车内致命交通事故中驾驶员头部损伤的特征。

材料与方法。分析了 Moscow Forensic Medical Examination Bureau 2006–2013 年间的鉴定文件,重点研究了交通事故中驾驶员头部损伤的存在情况及其位置。对国内和国外汽车驾驶员的头部损伤严重程度采用 ISS(Injury Severity Score)量表进行了分析。

结果。研究表明,在 ISS 评分为 0–10 分和 11–20 分的范围内,比较组之间的差异无统计学意义。在 ISS 评分为 21–30 分和 31–40 分的范围内,国内汽车驾驶员致命伤害的案例占比更高,而在 41–50 分的范围内,国外汽车驾驶员的致命伤害占主导地位。

结论。在致命颅脑损伤的案例中,损伤的定位及严重程度存在统计学上的显著差异,这表明可能存在需要进一步研究和考虑的额外因素,以更准确地回答有关车内受害者位置的问题。

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作者简介

Sergey V. Grukhovskiy

Bureau of forensic medical examination of the Department of health of the city of Moscow; The First Sechenov Moscow State Medical University

编辑信件的主要联系方式.
Email: gruhovskiy@mail.ru
ORCID iD: 0000-0001-9849-7825
SPIN 代码: 7734-4020
俄罗斯联邦, Moscow; Moscow

Pavel S. Velenko

The First Sechenov Moscow State Medical University

Email: velenko_p_s_1@staff.sechenov.ru
ORCID iD: 0000-0003-2800-1454
SPIN 代码: 6649-3580

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Moscow

Alexey А. Bychkov

Bureau of forensic medical examination of the Department of health of the city of Moscow; The First Sechenov Moscow State Medical University

Email: bychkov_a_a@staff.sechenov.ru
ORCID iD: 0000-0001-6741-6498
SPIN 代码: 4042-7275

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Moscow; Moscow

Ruslan E. Marchenkov

The First Sechenov Moscow State Medical University

Email: marchenkov_r_e@student.sechenov.ru
ORCID iD: 0000-0001-5705-522X
SPIN 代码: 3116-5490
俄罗斯联邦, Moscow

Irina V. Globa

The First Sechenov Moscow State Medical University

Email: globa_i_v@staff.sechenov.ru
ORCID iD: 0000-0002-7185-4324
SPIN 代码: 3976-6782

MD, Cand. Sci. (Medicine), Assistant Professor

俄罗斯联邦, Moscow

Dmitriy P. Berezovskiy

The First Sechenov Moscow State Medical University

Email: berezovskiy_d_p@staff.sechenov.ru
ORCID iD: 0000-0002-8502-1331
SPIN 代码: 4063-5837

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow

Evgeny Kh. Barinov

Russian University of Medicine; Peoples' Friendship University of Russia

Email: ev.barinov@mail.ru
ORCID iD: 0000-0003-4236-4219
SPIN 代码: 2112-4568

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Moscow; Moscow

参考

  1. Anuprienko SA, Pron ES, Barmakova JS, Porodenko VА. Children's non-fatal road traffic injury in Krasnodar in 2015–2019. Russ J Forensic Medicine. 2021;7(1):10–20. EDN: ZVSHLL doi: 10.17816/fm335
  2. Badalyan AF, Novoselov VP. Forensic medical estimation of the vehicle speed considering the morphological features of blood traces. Bull Forensic Medicine. 2018;7(2):4–7. EDN: XSZDPV
  3. Indiaminov SI, Ismailov RA, Bakhtiyorov BB. Injuries in drivers caused by an in-vehicle car trauma. Vestnik sovremennoi klinicheskoi mediciny = The bulletin of contempopary clinical medicine. 2020;13(5):20–25. EDN: AEAWEY doi: 10.20969/VSKM.2020.13(5).20-25
  4. Maksimov AV, Kuchuk SA. Characteristics of fatal road traffic injuries in the Moscow region. Russ J Forensic Medicine. 2020;6(3):36–40. EDN: XPVCSF doi: 10.19048/fm322
  5. Bychkov AA, Dubrovin IA, Gerasimov AN, et al. Comparative characteristics of injuries to individual body parts of the driver and passengers inside the passenger compartment of a moving vehicle in a traffic accident. Sudebno-meditsinskaia ekspertiza = Forensic medical expertise. 2019;62(3):12–16. EDN: ZTAOLR doi: 10.17116/sudmed20196203112
  6. Dubrovin IA, Mosoian AS, Grukhovskiy SV, Bychkov AA. General characteristics of the driver’s head injury in road accidents. Sudebno-meditsinskaia ekspertiza = Forensic medical expertise. 2020;63(2):19–24. EDN: FWIBWB doi: 10.17116/sudmed20206302119
  7. Baker CE, Martin P, Wilson MH, et al. The relationship between road traffic collision dynamics and traumatic brain injury pathology. Brain Commun. 2022;4(2):fcac033. EDN: KWXWYG doi: 10.1093/braincomms/fcac033
  8. Al-Thaifani AA, Al-Rabeei NA, Dallak AM. Study of the Injured persons and the injury pattern in road traffic accident in Sana’a city, Yemen. Advances in public health. 2016;2016(3):1–5. doi: 10.1155/2016/4138163
  9. Bolorunduro OB, Villegas C, Oyetunji TA, et al. Validating the Injury Severity Score (ISS) in different populations: ISS predicts mortality better among Hispanics and females. J Surg Res. 2011;166(1):40–44. doi: 10.1016/j.jss.2010.04.012

补充文件

附件文件
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1. JATS XML
2. Fig. 1. Severity of head injuries on the ISS scale depending on the speed of the vehicle at the final moment of the traffic accident.

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