RESUMO
When a pedestrian was hit by bumper and runover by tire of car, tire impression marks or damaged skin and fractured born marks were remained on dead body. Namely, to obtain the best result for analysis of traffic accident involved damaged human body, it must be considered both the analysis of autopsy and the analysis of traffic accident reconstruction. As these kinds of cases were managed to solve when one part of analysis was not for sure but some cases were missing because we have any regulated system to comply the results of both parts. This case is as follows, As soon as the child run across the street, the automobile was passing by and he went into between front tire and read tire and he was runover by rear tire and he died. Unfortunately this case was treated by police as the child was fault. However we studied this case both the analysis of tire impression and damaged mark of dead body and the aspect of traffic accident reconstruction. Finally, we found out the fact that the car hit the child and runover front and rear tire of the car. This case is valuable because we could find the truth that the child was not fault. Like this manner, here we would like to suggest a system or any kinds of organization should be considered so that the two forensic parts can be analyze together.
Assuntos
Criança , Humanos , Acidentes de Trânsito , Automóveis , Autopsia , Corpo Humano , Polícia , PeleRESUMO
Though exercise T1-201 myocardial perfusion-scintigraphy is an important test in the diagnosis and evaluation of coronary artery disease, this test is limited in cases with poor physical conditions and unstable angina and the physical characteristics of thallium are not ideal for nuclear imaging of the myocardium. Recently, technetium-99m-labelled agent(99mTc-MIBI) has been developed to improved the quality of imaging and for easy usage in myocardial perfusion scan. Therefore, we performed dipyridamole 99mTc-MIBI myocardial scintigraphy and coronary angiography on 25 subjects who were suspeced to have coronary artery disease and the results obtanined were as follows ; 1) The overall diagnostic sensitivity of dipyridamole 99mTc-MIBI perfusion scintigraphy was 73.4%, while specificity was 66.7%. 2) Per vessel sensitivity for coronary artery disease diagnosis by the test was 71.4% and a per vessel specificity for coronary artery disease was 95.7%. 3) In all 75 coronary arteries, LAD had a sensitivity of 66.7%(10/15) and a specificity of 100%(10/10); RCA had a sensitivity of 75%(6/8) and a specificity of 82.4%(14/17); LCX had a sensitivity of 60%(3/5) and a specificity of 100%(20/20). 4) After infusion of dipyridamole, the most frequent adverse effect was chest pain which was seen in 8 cases(32%). The headache was seen in 7 cases(28%). Most of the symptoms were mild in severity and subsided spontaneously but 3 subjects were severe enough to require intravenous administration of aminophylline. In conclusion, dipyridamole 99m2011-06-17Tc-MIBI myocardial perfusion scintigraphy is a useful and safe test for diagnosis of coronary artery disease.