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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 37(2)2012
  1. Private
  2. 研究紀要
  3. Acta medica Kinki University
  4. 37(2)2012

<Originals> Petrous bone hemorrhage : specificity and pathogenesis

https://kindai.repo.nii.ac.jp/records/10584
https://kindai.repo.nii.ac.jp/records/10584
e2d2cf9a-269b-40e7-a973-e2cb23d003ec
名前 / ファイル ライセンス アクション
AA0050842X-20121200-0063.pdf AA0050842X-20121200-0063.pdf (19.0 MB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-02-04
タイトル
タイトル <Originals> Petrous bone hemorrhage : specificity and pathogenesis
言語 en
著者 Okusa, Nobutaka

× Okusa, Nobutaka

Okusa, Nobutaka

ja-Kana オオクサ, ノブタカ

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言語
言語 eng
キーワード
主題 petrous bone, hemorrhage, drowning, asphyxia, congestion, pathology
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者 所属
値 Department of Legal Medicine, Kinki University Faculty of Medicine
著者所属(翻訳)
値 Kinki University
版
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者 名前
出版者 Kinki University Medical Association
書誌情報 en : ACTA MEDICA KINKI UNIVERSITY

巻 37, 号 2, p. 63-69, 発行日 2012-12-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] Whether or not temporal petrous bone hemorrhage is drowning/asphyxia specific or not has been controversial. This issue was investigatedby analyzing 151judicial autopsy cases using semi-3-dimensional microscopic observations of the bones. This systematic evaluation revealed the hemorrhages in all 151cases, not only of the drowning/asphyxia group, but also of the others. Therefore, it was concluded that the hemorrhage was non-specific. Venous congestion was also one of the most consistent features of the bones. During agonal periods, hypoxia seemed unavoidable. The "hypoxic pulmonary vasoconstriction" increases the central venous pressure. Even in the agonal periods, arterial blood flow to the brain is relatively maintained by cerebral autoregulation. In addition, the small petrous veins do not have sufficient supporting structures. These mechanisms might contribute to the pathogenesis of perimortal petrous bone hemorrhage. There is no single sign which proves drowning/asphyxia as the cause of death.The judgment about the cause should be based on the overall assessment.
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内容記述 application/pdf
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