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Journal Article

Citation

Zheng D, Tang SB, Ye WQ, Liu SP, Li ZH, Liu XS, Quan L, Luo B, Cheng JD. Fa Yi Xue Za Zhi 2019; 35(3): 285-288.

Affiliation

Guangdong Province Translational Forensic Medicine Engineering Technology Research Center, Sun Yat-Sen University, Guangzhou 510080, China.

Copyright

(Copyright © 2019, Si fa bu Si fa jian ding ke xue ji shu yan jiu suo)

DOI

10.12116/j.issn.1004-5619.2019.03.004

PMID

31282621

Abstract

OBJECTIVE To discuss the methods and strategies to identify the causes of dependents' deaths, as well as provide the experiences that can be used for reference and scientific basis for the forensic identification of the potentially growing deaths of the same kind in the future.

METHODS The 13 cases concerning death of dependents accepted by Sun Yat-sen University Forensic Center were collected, and the basic information of the dependents were statistically described. The nutritional status, environmental condition and medical care condition were evaluated according to dietary energy, living space, environment and medical treatment condition.

RESULTS Among the 13 dependents, there were 11 males and 2 females, with the oldest 74 and the youngest 9 and dwelling time was from 0.4 to 5.6 years. Forensic pathological examination showed that 13 dependents had infectious diseases and 11 were severely dystrophic. There were no fatal mechanical injuries or poisoning in dependents. Molecular pathological screening of 4 cases revealed no pathogenic variants of sudden death susceptible genes. The poor status of the diet, nutrition, living environment and medical care of these dependents were discovered. The direct cause of death of all 13 dependents was identified to be disease. The lack of nutrition, poor living environment and lack of medical care were thought to play a dominant role in causing the deaths of 12 dependants.

CONCLUSION The death identification should follow the judicial procedure. In identification of the causes of death and analysis of the proportion of the affecting factors resulting in death, all factors, including nutrition,environment, medical care, injury and diseases, need to be considered.

Copyright© by the Editorial Department of Journal of Forensic Medicine.


Language: zh




题目: 被看护人员死亡原因鉴定策略.


Language: zh


摘要: 目的 探讨被看护人员死亡原因鉴定的方法和策略,为潜在增长的此类死亡事件的法医学鉴定提供可借鉴的实践经验和科学依据。 方法 收集中山大学法医鉴定中心受理的13例被看护人员死亡案件,对被看护人员的基本信息进行统计描述。以膳食能量、居住面积及环境、就医情况分别评估营养状况、环境条件、医护条件。 结果 13例被看护人员中,有11例男性,2例女性;年龄最长者74岁,最小者9岁;在福利机构居住时间最长者5.6年,最短者0.4年。法医病理学检验发现13例均患有感染性疾病,11例存在严重营养不良。所有被看护人员均未检见致命性机械性损伤及中毒情况。4例经分子病理学检测未发现猝死易感基因的致病性突变。被看护人员饮食营养、生活环境、医疗护理状况存在不足。13例被看护人员的直接死亡原因均被鉴定为疾病,营养、居住、医护等条件不足在12例被看护人员的死亡后果参与程度中占主要因素。 结论 被看护人员死亡鉴定应遵照司法程序开展,其死亡原因鉴定及死亡后果参与程度分析须综合考虑营养、环境、医疗护理、损伤及疾病等因素。.


Language: zh


关键词: 法医病理学;被看护人员;虐待;死亡原因.


Language: zh

Keywords

forensic pathology; dependents; torture; cause of death

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