RESUMEN
The pituitary was examined in patients with craniocerebral injuries who died in hospital in various periods after treatment. Control group consisted of victims died at the site of accident. The results indicate the significance of examining the pituitary in craniocerebral injuries for the diagnosis of thanatogenesis, particularly in patients died in hospital. Causes of traumatic changes in the organ were determined, highly incident in the practice of forensic medical experts: directly during injury, as a result of skull bone fractures; during development of dislocation syndrome and in disorders of blood and lymph circulation in the brain matter; resultant from augmenting traumatic edema of the brain.
Asunto(s)
Traumatismos Craneocerebrales/patología , Hipófisis/patología , Traumatismos Craneocerebrales/mortalidad , Medicina Legal , Hospitalización , HumanosRESUMEN
Morphological characteristics of changes in the spine and lungs in patients with spinal injuries dead in hospital are described. Spinal edemas were detected in all cases. Edemas were found even in subjects dead at the place where the injury was inflicted. Morphological changes in the lungs were characterized by a phase-wise process, depended on the volume of injury, duration of hospitalization, medical care rendered, and manifested by disorders of blood content of the organ, development of tissue edema, and pneumonia. These data do not rule out the development of pneumonia in patients with spinal injuries.
Asunto(s)
Pulmón/patología , Traumatismos Vertebrales/patología , Adulto , Anciano , Anciano de 80 o más Años , Causas de Muerte , Mortalidad Hospitalaria , Humanos , Masculino , Persona de Mediana Edad , Traumatismo Múltiple/complicaciones , Traumatismo Múltiple/mortalidad , Traumatismo Múltiple/patología , Neumonía/etiología , Neumonía/mortalidad , Neumonía/patología , Edema Pulmonar/etiología , Edema Pulmonar/mortalidad , Edema Pulmonar/patología , Estudios Retrospectivos , Traumatismos Vertebrales/complicaciones , Traumatismos Vertebrales/mortalidadRESUMEN
Morphologic changes in the spine have been investigated in patients with spinal injuries who died in hospital. The incidence of injuries has been evaluated as 9.3% of mechanical injuries. Purposeful search for possible injuries increased the rate of detection of injuries of the spine and the cord. Spinal cord can be impaired without involving the osseous formations and spinal ligaments. Edema of the cord tissue develops during the early period of injury and prevents the detection of injuries, persisting for a long time after the injury. Edemas are detected even in subjects who died at the site of accident.
Asunto(s)
Mortalidad Hospitalaria , Médula Espinal/patología , Traumatismos Vertebrales/patología , Adulto , Anciano , Causas de Muerte , Edema/patología , Femenino , Medicina Legal , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Federación de Rusia/epidemiología , Traumatismos Vertebrales/epidemiología , Columna Vertebral/patologíaRESUMEN
The bacterial contamination of blood and its components was studied in 517 corpses during the first 2-4 hours after sudden death. Investigations were made with the use of anaerobic cultivation techniques, modern identification methods by means of test systems and gas-liquid chromatography. As revealed in this study, in 14.1% of the corpses different bacteria, belonging to the representatives of normal human microflora, were detected in the blood. More than a half of the isolates were represented by Propionibacterium (P. acnes and P. granulosum). The endogenous way of contamination from the lymph of the hepatic duct seems to be most probable.
Asunto(s)
Bacteriemia/microbiología , Muerte Súbita , Bacterias Aerobias/aislamiento & purificación , Bacterias Anaerobias/aislamiento & purificación , Cadáver , Eritrocitos/microbiología , Humanos , Plasma/microbiología , Factores de TiempoRESUMEN
The article deals with investigation of dynamics of clinical morphological pattern in acute poisoning with organophosphorous insecticides. For this purpose all specific and non-specific effects of this chemical disease are classified according to the moment of their occurrence after poison exposure. Morphological equivalent of specific clinical manifestations at different stages of thanatogenesis of this poisoning was determined. It was shown that intensity of pathological process or specific density of toxic effects per time-unit is a very important criterium for assessment of severity and prognosis of poisoning.