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01 奈良県立医科大学 >
011 医学部 >
0112 紀要 >
01121 Journal of Nara Medical Association >
Vol.75 No.1,2,3 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/4436
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タイトル: | 解剖により病死と判明した車両火災の1例 |
その他のタイトル: | CAR FIRE FATALITY: A CASE REPORT ON URINARY TRACT INFECTION |
著者: | 井上, 伸 田村, 修平 蓮輪, 恭子 工藤, 利彩 勇井, 克也 寺澤, 郁子 粕田, 承吾 |
キーワード: | car fires infection Abbreviated Injury Scale Injury Severity Score |
発行日: | 2024年7月31日水曜日 |
出版者: | 奈良県立医科大学 奈良医学会 |
引用: | Journal of Nara Medical Association Vol.75 No.1,2,3 p.1-4 (2024.07) |
抄録: | A woman in her 70s, with a history of lung c ancer, pancreatic cancer, and diabetes mellitus, was
discovered deceased in the driver's seat of her car. She went out with her family in the morning
but felt unwell and attempted to drive home. As she drove, the car burst into flames, prompting
a passerby to call an ambulance. Her head and anterior surfaces of the extremities exhibited
burns, with the thorax and abdomen showing III-IV degree burns on the anterior surface and
I-II degree burns on the dorsal surface in some areas. There were fractures of the sternum, left
clavicle, and bilateral ribs, and damage to the mesentery. Soot was observed in the trachea and
bronchi, and examination revealed no traumatic changes in any viscera. The blood's carboxyhemoglobin
(COHb) concentration was 15%. Histological examination indicated neutrophils in the
blood vessels of the brain, heart, and liver, as well as neutrophil infiltration in the renal parenchyma.
Consequently, the determined cause of death was a urinary tract infection.
The chest severity rating, determined by the Abbreviated Injury Scale (AIS), was 6, signifying
multiple rib fractures on both sides. The injury severity score (ISS), which is the sum of the
squares of the highest AIS code in each of the three most severely injured body regions, was
determined. The ISS score was 75 due to an AIS code of 6 for the chest. Generally, an ISS score
of 25 or higher is associated with a high mortality rate. Consequently, even in the absence of
the car fire, saving her life would have been challenging. Through this case, the importance of
meticulous observation becomes evident, especially when histological examination is conducted
during the autopsy of a burnt corpse. |
URI: | http://hdl.handle.net/10564/4436 |
ISSN: | 13450069 |
出現コレクション: | Vol.75 No.1,2,3
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