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首页> 外文期刊>International journal of legal medicine >Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany
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Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

机译：儿童和青少年窒息病例：1998至2017年德国汉堡致命事故，自杀和凶杀案的回顾性分析

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Purpose Injury-related asphyxia is one of the most common causes of death in children in Germany. However, only a few systematic studies have analyzed the causes and circumstances of asphyxia in children and adolescents. Methods All cases of asphyxia in children and adolescents (0-21 years of age) among the Hamburg Legal Medical Department's autopsy cases from 1998 to 2017 were retrospectively analyzed with special focus on how often external findings were completely absent. Results Among 249 cases of fatal asphyxia, 68% were accidents, 14% were suicides, and 13% were homicides. Most of the cases involved boys. Adolescents and young adults aged 15-21 years represented the main age group. Drowning was the leading mechanism of asphyxia. Younger age was associated with less frequent detection of external signs of asphyxia in the postmortem external examination. Petechial hemorrhages were the most common visible external indication of asphyxia. No external findings indicative of asphyxia were present in 14% of the cases. Conclusion Asphyxia in children and adolescents often involves accidents. However, postmortem external examination alone is insufficient to identify asphyxia and the manner of death.
机译：目的伤害相关窒息是德国儿童中最常见的死亡原因之一。然而，只有少数系统研究分析了儿童和青少年窒息的原因和情况。方法回顾性分析1998年至2017年汉堡法律医疗部门尸检案件中的所有窒息（0-21岁）的窒息（0-21岁），特别关注外部发现完全缺席的频率。结果249例致命窒息患者，68％是事故，14％是自杀，13％是凶杀案。大多数病例涉及男孩。 15-21岁的青少年和年轻人代表了主要的年龄组。溺水是窒息的主要机制。较年轻的年龄与较低频繁的窒息外部症状外部检查的外部迹象有关。瘀点出血是窒息最常见的可见外部指示。在14％的病例中没有表明窒息的外部发现。结论儿童和青少年的窒息往往涉及事故。然而，单独的后期外部检查不足以识别窒息和死亡方式。

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