FORENSIC EVALUATION OF CLINICAL OBSERVATIONS OF INJURIES OF SOME EXTERNAL RESPIRATORY ORGANS

Gubin M. V., Malykhina O. I., Voitov Y. O., Serbinenko I. Y.

FORENSIC MEDICINE

Scentific article

Closed chest trauma is a common type of damage to the external respiratory system. Victims of such injuries may be subject to forensic examination. Purpose of work. forensic assessment of the severity of injuries of the respiratory system on the basis of clinical observations of closed blunt chest injuries to determine additional diagnostic criteria for the severity of these injuries. Object and methods. 126 history diseases of patients with chest injuries who were treated at the Kharkiv institute of general and emergency surgery named after V.T. Zaitseva were analyzed. Results. The occurrence of chest injuries occurred by the mechanism of impact blunt solid objects on the chest. A forensic medical assessment of closed injuries of the chest organs according to the severity of injuries according to the materials of clinical observations was performed. Severe bodily injuries were estimates in 24 (19%) cases of injuries with life-threatening phenomena, namely acute respiratory failure. Moderate bodily injuries were estimates in 72 (57.2%) cases of chest injuries, mostly with rib fractures in the absence of danger to life. Simple bodily injuries were estimates in 30 (23.8%) cases of chest injuries without rib fractures with intrapleural injuries and complications or light chest injuries without any complications. It is established that in the available scientific and methodological literature there are no diagnostic morpho-clinical signs for qualitative forensic assessment and prediction of the outcomes of closed chest injuries. Conclusions. It is determined that additional diagnostic criteria for chest injuries, which must be taken place when determining the severity of bodily injuries, should be considered: the dynamics and duration of recovery of post-traumatic morpho-functional changes of the chest, life-threatening phenomena. Ways to further improve forensic medical diagnostics in assessing these injuries by severity were identified.

forensic medical examination, chest injury, diagnostic criteria, severity of injuries.

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«Bulletin of problems biology and medicine» Issue 2 Part 2 (165), 2022 year, 271-279 pages, index UDK 340.66:[616.211/.27:616.712]-001-071

10.29254/2077-4214-2022-2-2-165-271-279