Tren Çarpmasına Bağlı Ölümler

Year 1996, Volume: 12 Issue: 1 , 31 - 37 , 30.04.1996

Nuray Cansunar Gürsel Çetin

https://izlik.org/JA46US76CL

Abstract

Bu call$mada 1990-1994 yilian arasmda Adli TIp Kurumu Morg ihtisas Dairesinde otopsi yapllan 9811 olguya ait otopsi raporlan taranarak tren carpmasma bagh olanlar aynlml$ ve ceoitli yonlerden incelenerek
konuyla il gili lit eratUrdeki bilgi ve bulgularla kar~Ila tlfma l apJiml~, (izellikle orijin tayini a(:lsmdan kan;Jia~dan sorunlar ve dikkat edilmesi gereken noktalar irdelenmislir. Tren (:anpmasma bagh olum olarak toplam 78 olgu (% 0.79) mevcut olup, 68 tanesi erkek, 10 lanesi kadll1dlr. En cok olgu 41-50 yas grubunda (18 olgu) gorUlmUstUr. Ayl ara gore dagJiml incelendiginde \0 olgu de temmuz ayl ilk Slrayl alm1sllr. Yucut bolgelerine gore 62 olguda kafada, 60 olguda gogUste, 44 olguda boyunda, 29 ol guda ust ekstremitelerde , 20 olguda pelviste, 16 olguda alt ekstremilelerde degisik nitelikte travmatik lezyonlar saptanmlotlr. En fazla yaralanan ic organ beyin oldugu (53 olguda) bunu 40 olgu ile akcigerin izledigi gorUlmustUr. iskelet sisteminde en fazla hasara ugrayan kemikler kaburgalardlr (59 olgu). Kimyasal anali z sonudan aClsmdan incelendiginde 13 olguda kanda etil alkol, I olguda idrarda benzodiazepin tUrevi bir madde bulundugu tespit edilmistir.

Keywords

tren yolu kazaları , yaralanma , otopsi

References

• Cina, SJ., Koelpm, J.L., Nichols, CA., Conradi, S.B. (1994) A Decade oj Train-PedeslIain FataliLi"s: The Charleston Experience, Journal oj Forensic Sciences, 39 (3): 668-73.
• NixQ!" Corcorall, A., Fieldiuf., L., E"stg"te, J. (1 ()g<;) Fatal A Stlldv of Injuries to Individuals, With Particular Referencc' Accid. Anal. Prev., 17 (3): 217-22. Nonfatal /\ccidenb the Railways: childrou ,md to I\(miatal Trauma,
• Symonds, R.L. (1985) Psychiatric Aspects of Railway Fatalities, Psychological Medicine, 15: 609-21. Lindeki Ide, K., A.G. (I 9S5) Train Suicide in County fyn 197') Acta P,l'\chiatr. 72:151)
• Araki, S., Murata, K. (1986) Suicide Mortality in Japan: Analysis of the Unusual Secular Trends, Thoku.1. Exp.Med. 149: 205-11.
• Spaite. Criss. Vaiellwela, T., \lcislin, Ogden, J.R. (19881 Railroad Accidents: A Metropolitan Experience of Deaih and InJUry, Annals oJEmergc!lcy Medicillc, 17(6):
• Evans, R.N., Foss, FE. (1984) Traumatic Hemipelvectomy in Combination with Traumatic AmpntM;on of an Opper Exremitv, The Journal efTro"ma, 24(4): 342-5.
• Knighi. (1991) Simpson's Forensic Medicine, Tenth Ed .. Euward ,'\T1lold LOl1cbn Melbourne, Auckland, 135-6.
• Marshall, T.K. (1976) Wounds and Trauma, in: Camps, FE. ed., Gradwohl's Legal Medicine, Third Ed., Brisllli John Wright and Ltd., 1976; 289.
• KniglL. (197!) Railway !lazard in Tedeschi, Ecken, .G., Tedeschi, L.(i., lids. Fl'u'hsic MedIcine, Volume 3, Environmental Hazards. W.B. Saunders Company, Philadelphia, London, Toronto, 1 J 87 -91.