Bülent ŞAM, Ferruh BAKLACIOĞLU, Esat ŞAHİN, İlhami KÖMÜR, Bünyamin BAŞPINAR, M. Feyzi ŞAHİN, Yalçın BÜYÜK

ARAÇ İÇİ TRAFİK KAZASI KAYNAKLI ÖLÜM OLGULARINDA TRAVMATİK BULGULAR İLE ARAÇ İÇİ LOKALİZASYON VE KAZA TİPİ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ; RETROSPEKTİF OTOPSİ ÇALIŞMASI

Amaç:Araç içi konumun önemli oldu- ğu adli olguların çözümüne vetrafik kazalarının neden oldu- ğu kayıplara yönelik önlemlerekatkı sağlayacağı düşüncesin- den hareketle bu çalışma plan- lanmıştır. Yöntemler: Adli Tıp Kurumu BaşkanlığıMorg İhtisas Dairesine Eylül2007 - Nisan 2008 dönemindeotopsi yapılmak üzere gön- derilen; trafik kazasına bağlı444 ölüm olgusu içinden araçdışı trafik kazası, motosikletkazası, yurt dışından gelen vebilgilerine ulaşılamayan trafikkazası olguları ayrılmış, olaylailgili gerekli bilgilere ulaşıla- bilen toplam 150 araç içi tra- fik kazası sonucu ölüm olgusuretrospektif olarak değerlendi- rilmiştir.Bulgular: Olguların %83ü (n:125) er- kek, %17si (n:25) kadındır.Trafik kazaları her iki cinsi- yette de genç erişkin popü- lasyonunda önemli bir ölümnedeni olarak saptanmıştır.Olguların %60,7sinin sürücü,trafik kazalarına karışan araç- ların %86sının otomobil oldu- ğu, ölümlerin %63ünün öndençarpışmalar sonucu ve en sık%44 oranında otoyolda mey- dana geldiği saptanmıştır. Ka- nında alkol saptanan 19 sürü- cünün 16sında 0,5 promil olanyasal sınırın üzerinde etil alkoldeğerleri belirlenmiştir. Her ikicinsiyet için de kafa travması vetorakoabdominal yaralanmalarölümde en sık etkili faktörlerolarak belirlenmiştir.Sonuç: Kesin olarak kişilerin araç içipozisyonunu söyleyebilmek içinolay yeri incelemesine otopsiyiyapacak adli tıp uzmanının dakatılarak cesetlerin olay ye- rindeki pozisyonlarını görmesiCeza Muhakemeleri Kanunu(CMK)nun da verdiği yetkiyleolayın tanıklarıyla gerekli gör- düğü noktalar üzerinden gö- rüşmesi ve teknik bilirkişilerlegörüş alışverişinde bulunma- sının gerekli olduğunu düşün- mekteyiz.

EVALUATION OF RELATIONSHIP BETWEEN ACCIDENT TYPES, LOCALIZATION OF OCCUPANTS IN THE VEHICLE AND INJURY PATTERN IN FATALITIES RESULTING FROM ROAD TRAFFIC ACCIDENT: RETROSPECTIVE AUTOPSY STUDY

Objective: In order to contribute to the effortstargeted to decrease the casual- ties of road traffic accidents, weplanned this retrospective studyand by this way intended to providethe wound patterns of these fatali- ties. Methods: There were total 444 fatalities re- sulting from road traffic accidentsamong the autopsy population ofCouncil of Forensic Medicine, Mor- tuary Division between September2007 and April 2008. The accidentsinvolving the pedestrian and thecases having little or no informa- tion about the incident were ex- cluded and remaining 150 fatalitieswere retrospectively evaluated. Results: Of the cases, 83% (n:125) weremale and 17% (n:25) female andfemale/ male ratio was 1/5. Roadtraffic accidents were detected tobe an important cause of death inyoung adults in both genders. Mostcases were detected to be in the21-30 age groups in both genders.Victims were the drivers in 60.7%of the cases and automobile wasthe most frequently engaged vehi- cle in fatal accidents. 63% of theaccidents were frontal collisionsand the most common site of theincident was motorway. Bloodanalysis for alcohol yielded thepresence of alcohol in 20.9% (n:19)of the driver (n:91) and in 16 driver(17.6%) the blood alcohol level ex- ceeded the official level permitted(50mg/dl). The 21-30 age groupwhich is the most crowded groupwas also the leading age group foralcohol presence. Head traumaand thoraco-abdominal injurieswere detected to be most impor- tant injuries in both genders inthese fatalities. Conclusion: In order to accurately define thesites of passengers in the car willdefinitely require the examinationof the death scene and gatheringof all the information from wit- nesses and technical staff by fo- rensic doctor.

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