Abstract
The article analyzes the current state of the problem of determining the prescription of the injury and the time of death. In the course of our studies, we detected a statistically significant decrease in temperature in traumatized and intact pancreatic tissues in people who died from trauma, which can be used as one of the criteria for determining the time of onset of trauma. The study revealed that higher quantitative temperature indices are observed directly in the area of pancreatic injury in comparison with untreated pancreatic tissues and make up the difference, on average, by 1.5-3 °C (± 0.17). It is established that the sex of a man (male or female) on the temperature of the pancreas does not significantly affect.
Based on the results of the study, we proposed to use the regressive model to take into account the temperature indices of the parenchymal organs of the abdominal cavity and the retroperitoneal space in the complex (liver, pancreas, spleen, kidneys) in dynamics at positive and negative temperatures using the current method infrared thermometry.
The comprehensive approach suggested by us will help to optimize the accuracy and reliability of the decision on the issue of the prescription of injury and the onset of death. In order to obtain objective information, it is necessary to conduct a repeated measurement of the temperature in the dynamics in the recommended hourly intervals.
References
Savelʹev V. S. Rukovodstvo po neotlozhnoy khyrurhyy orhanov bryushnoy polosty. Moskva, 2005. 237 s.
Bushurov S. H. Morfolohycheskye yzmenenyya v kyshechnyke pry ostroy krovopotere: dys. … kand. med. nauk: 14.03.02. Sankt-Peterburh, 2010. 150 s.
Boyko V. V., Zamyatyn P. N., Kononenko N. H. y dr. Polytravma: rukovodstvo dlya vrachey: v 2-kh t.. 2-e yzd., pererab. y dop. Kharʹkov, 2011. T. 2. 688 s.
Birmes P., Escande M., Gourdy P. Biological factors of post-traumatic stress: neuroendocrine aspects // Encephale. 2000. Vol. 26, № 6. P. 55–61.
Babkina O. P. ta in. Vstanovlennya davnosti nastannya ushkodzhenʹ orhaniv cherevnoyi porozhnyny ta zaocherevynnoho prostoru u travmovanykh ta zahyblykh osib vnaslidok spoluchenoyi travmy. Luhansʹk, 2013. 152 s.