Two hundred autopsy cases that died from cranio-cerebral injury were analyzed on the damage characteristics caused by different instruments. The injury mechanism was then classified according to beating direction, sequence, as well as baring spot of injury, which is seek to serve for the estimation of wounding instruments and determination of the character of case.
Accidents ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Autopsy ; Cause of Death ; Child ; Craniocerebral Trauma/pathology* ; Female ; Forensic Pathology/methods* ; Homicide ; Humans ; Male ; Middle Aged ; Trauma Severity Indices ; Wounds, Nonpenetrating/pathology* ; Wounds, Stab/pathology* ; Young Adult

OBJECTIVE: To explore the characteristics of abdominal penetrating injuries with exploratory laparotomy, as well as to summarize the key points of injury degree, and to supply reasonable reference for the practice and criterion modification in forensic clinical medicine identification. METHODS Fifty-seven cases which were all abdominal penetrating injuries with exploratory laparotomy from July 1990 to February 2011 were retrospectively analyzed including the instrument causing trauma, amount of the hemoperitoneum, the organs of the injury, conclusion of the forensic indentification, and so on. RESULTS There was some correlation between the organ injury patterns, volume of hemoperitoneum and identification conclusion for the abdominal penetrating injury cases with exploratory laparotomy. CONCLUSION The intra-abdominal injury has important effect for the injury degree of the abdominal penetrating injury cases with exploratory laparotomy and should be considered in the practice and criterion modification of these kinds of cases.
Abdominal Injuries/surgery* ; Adolescent ; Adult ; Expert Testimony/standards* ; Female ; Forensic Medicine/standards* ; Hemoperitoneum/pathology* ; Humans ; Injury Severity Score ; Laparotomy/methods* ; Male ; Middle Aged ; Retrospective Studies ; Wounds, Penetrating/surgery* ; Wounds, Stab/surgery* ; Young Adult