外伤性成人呼吸窘迫综合征法医学鉴定1例

Forensic Identification of Traumatic Adult Respiratory Distress Syndrome

案例中经法医尸体检验发现死者肺部镜下可见弥漫性肺淤血、水肿、局灶性肺泡内出血、白细胞浸润、血管内集聚、透明膜形成及肺泡纤维化等,均符合成人呼吸窘迫综合征的组织病理学表现,且死者全身多处皮肤及软组织有挫伤,尤其是大脑、小脑及桥脑处存在散在挫伤灶。综合分析后认为死者死因符合外伤性成人呼吸窘迫综合征表现,并对广泛软组织挫伤与成人呼吸窘迫综合征的内在联系做出合理分析,为外伤性成人呼吸窘迫综合征相关的死因鉴定提供参考依据。

In this case, diffuse pulmonary congestion, edema, focal alveolar hemorrhage, leukocyte infiltration, intravascular aggregation, transparent membrane formation and alveolar fibrosis can befound in the lungs of the deceased by forensic autopsy, which is consistent with the pathological manifestations of adult respiratory distress syndrome. There are contusions on multiple skin and soft tissue of the deceased, especially in brain, cerebellum and pons. It is concluded that the cause of death is consistent with the performance of traumatic adult respiratory distress syndrome. And the internal relationship between extensive soft tissue contusion and adult respiratory distress syndrome is analyzed reasonably, which provides a reference to deal with the traumatic adult respiratory distress syndrome.