X光片数据在确定二尖瓣骨折时效中的法医意义: 一个专家实践案例
- 作者: Li Y.B.1,2, Vishniakova M.V.1, Klevno V.A.1
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隶属关系:
- Moscow Regional Research and Clinical Institute
- Primorsky Regional Bureau of Forensic Medical Examination
- 期: 卷 8, 编号 2 (2022)
- 页面: 65-71
- 栏目: CASE REPORTS
- URL: https://journals.rcsi.science/2411-8729/article/view/122481
- DOI: https://doi.org/10.17816/fm711
- ID: 122481
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详细
研究现实性:在对受害者、被告和其他人进行法医检查时,确定骨折的时效是很重要的。这使专家能够立即确定在专家骨架下发现的创伤与法医命令中描述的事件之间的因果关系。特别是在根据医疗文件进行检查的情况下,也就是说,如果检查是根据医疗文件进行的,则更是如此。由于各种原因,当事件的情况被隐瞒或歪曲时,不可能由专家进行法医检查,但调查机构必须对案件作出决定并查明真相。通常,医疗文件,特别是在单一的医疗帮助请求的情况下,不包含有关骨折临床情况的足够信息,对局部状态的描述很少或根本没有。在这种情况下,专家最重要的信息来源之一是X射线(电子或X射线胶片上的X射线照片、计算机断层扫描)的数据,通过对这些数据的研究,专家可以得出关于创伤机制和骨折时间的结论。对有关这一主题的文献资料的研究没有根据对法医X射线检查结果的研究确定骨折的确切时间标准。
专家案例描述。在提交的案件中,根据惯例,在鉴定人身上发现的骨折与判决书中描述的事件不符,但外科医生没有将其视为“旧的”,与案件的具体情况无关。对所附X光片的检查使法医能够确定所发现的骨折的时间范围,并确定创伤与裁决中所述事件没有因果关系。
结论。过对专家案例的分析,可以得出结论,法医专家自己研究X光片数据的重要性正是在确定骨折时间方面。
对法医学的重要性。这一案例表明,法医专家需要对提交的医学数据以及初步检查或刑事案件材料中包含的信息采取批判性的方法,以及独立检查放射检查结果的重要性。
作者简介
Yulia B. Li
Moscow Regional Research and Clinical Institute; Primorsky Regional Bureau of Forensic Medical Examination
Email: reineerdeluft@gmail.com
ORCID iD: 0000-0001-7870-5746
SPIN 代码: 9483-6751
Graduate Student
俄罗斯联邦, Moscow; VladivostokMarina V. Vishniakova
Moscow Regional Research and Clinical Institute
Email: cherridra@mail.ru
ORCID iD: 0000-0003-3838-636X
MD, Dr. Sci. (Med.)
俄罗斯联邦, MoscowVladimir A. Klevno
Moscow Regional Research and Clinical Institute
编辑信件的主要联系方式.
Email: vladimir.klevno@yandex.ru
ORCID iD: 0000-0001-5693-4054
SPIN 代码: 2015-6548
MD, Dr. Sci. (Med.), Professor
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