李某,男,35岁,酒醉后被他人拳击腹部摔跌后昏睡不醒,伤后1小时脑CT检查未见异常,20小时后再次做脑CT示两侧丘脑,枕叶有广泛低密度区,即以酒精中毒性脑病,大面积脑梗塞,脑疝住院抢救治疗,伤后48小时死亡。为明确是外伤、还是疾病致死而做法医学鉴定。 尸检见左右枕叶、颞叶,小脑均有小灶性出血,未见到脑血管原发性病变,无梗死,经组织学检验,证实为迟发性外伤性脑出血。 Lee, male, 35 years old, was drunk after being boxing abdomen fell unconscious, 1 hour after injury brain CT examination showed no abnormalities, 20 hours after the CT scan again showed both sides of the hypothalamus, occipital lobe has a wide low Density area, that is alcoholic encephalopathy, large cerebral infarction, brain herniation hospital treatment, 48 hours after injury death. To clear whether it is trauma, or death of the disease and the practice of medical identification. Autopsy around the occipital lobe, temporal lobe, cerebellar all have small focal hemorrhage, no primary cerebral vascular disease, no infarction, histological examination, confirmed as delayed traumatic cerebral hemorrhage.