道路交通事故二次损伤致死17例分析

摘要

Objective To explore the forensic identification points of deaths caused by secondary dam-ages of road traffic accidents. Methods Seventeen deaths caused by secondary dam ages of road traffic accidents were collected. Through scene investigation and necropsy, the basic inform ation of the acci-dents, distribution and property of the injuries, and other inform ation were collected. A ccording to the collected data, the scene was reconstructed in order to confirm the injury process, analyze the way, mechanism and severity of injury, distinguish antem ortem injury from postm ortem injury, and determ ine the cause of deaths. Results C ertain features such as serious injuries, multiple traum as, com bined in-juries, co-existence of antem ortem and postm ortem injuries, multiple causes of wounds, com plex injury mechanism , as well as the mutual dam aging and overlapping injuries were quite characteristically noted in these secondary traffic accident cases. Conclusion Forensic assessment of deaths caused by secondary dam ages of road traffic accidents should be synthetically analyzed and judged through scene investigation and necropsy.%目的：探讨道路交通事故二次损伤致死的法医学鉴定思路和要点。方法收集17例道路交通事故二次损伤致死的案例，通过事故现场勘验和尸体检验收集交通事故发生的基本信息以及损伤分布、性质等资料。根据收集的信息，重建事故发生过程，明确死者的致伤过程，分析损伤的致伤方式和机制、损伤的严重程度，判断属生前伤抑或死后伤，明确死者的死亡原因。结果道路交通事故二次损伤致死案例存在损伤严重，多发伤与复合伤常见，生前伤、濒死伤与死后伤并存，致伤方式多样，致伤机制复杂，甚至多次损伤相互掩盖等特点。结论道路交通事故二次损伤致死的法医学鉴定需结合事故现场勘验、尸体检验等综合分析和判断。