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83 Z. Rechtsmedizin 1 (1979)

handle is hein.journals/injlegame83 and id is 1 raw text is: Zeitschrift fur Z. Rechtsmedizin 83, 1-16 (1979) Rechtsmedizin @ Springer-Verlag 1979 Ubersichtsreferat / Review Article Vitale Reaktionen bei akutem Verbruhungstod* Bernd Brinkmann, Manfred Kleiber, Erwin Koops und Klaus Puschel Institut fnr Rechtsmedizin der Universitat Hamburg, Butenfeld 34, D-2000 Hamburg 54, Bundesrepublik Deutschland Acute Death from Scalding: Vital Reactions Summary. After a boiler explosion on a ship 12 men with cutaneous scalding of 90-100% of body surface were found dead. 15 other fatalities occured after different intervals. This investigation deals with the histomorphologic changes in those 12 cases of instantaneous death. The most important findings consisted of: 1. Thermal injuries of the skin with multiple subcutaneous and corial bubbles, intravascular heat coagulation, and edema in the transitional zone to the undamaged submucosa. 2. Coagulation necrosis of the tracheal and bronchial wall extending to alveolar ducts in central parts of the lung. Marked congestion and edema in the deeper layers of the mucosa. Hemorrhagic alveolar and interstitial edema of the lung. Striking congestion of the pleura parietalis saving up the recessus diaphragmaticus. 3. Acute nephron-nephrosis and periglomerular microangiopathy. Inter- stitial edema of the myocardium, degeneration of myofibrils. Acute vacuolar degeneration and swelling of hepatocytes. Phagocytosis of detritus by the RHS. 4. Swelling of endothelium and edema of the vascular walls. Intravascular fragments of erythrocytes, platelet aggregation and fibrin thrombi. The fatal cours in these cases is considered to be due to a fulminant shock syndrome. Key words: Boiler explosion, scalding - Scalding, vital reactions Zusammenfassung. Nach einer Dampfkesselexplosion in einem Schiffsneubau starben insgesamt 27 Arbeiter. 12 Opfer wurden bereits tot aus dem Kessel- raum geborgen. Sie wiesen Verbruhungen der K6rperoberflache von 90- 100% auf. * Herrn Prof. Dr. Erich Fritz zum 80. Geburtstag gewidmet Sonderdruckanfragen an: Prof. Dr. B. Brinkmann (Adresse siehe oben) 0044-3433/79/0083/0001/$ 3.20

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