AP Exclusive Autopsy Shocker Jackson Was Healthy
Michael Jackson's...
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AP Exclusive Autopsy Shocker Jackson Was Healthy
Michael Jackson's arms were covered with punctures, his face and neck were scarred and he had tattooed eyebrows and lips, but he wasn't the sickly skeleton of a man portrayed by tabloids, according to his autopsy report obtained by The Associated Press.
In fact, the Los Angeles County coroner's report shows Jackson was a fairly healthy 50-year-old before he died of an overdose. His 136 pounds were in the acceptable range for a 5-foot-9 man. His heart was strong with no sign of plaque buildup. And his kidneys and most other major organs were normal.
Still, Jackson had health issues: arthritis in the lower spine and some fingers, and mild plaque buildup in his leg arteries. Most serious was his lungs, which the autopsy report said were chronically inflamed and had reduced capacity that might have left him short of breath.
However, according to the document, the lung condition was not serious enough to be a direct or contributing cause of death.
"His overall health was fine," said Dr. Zeev Kain, chairman of the anesthesiology department at the University of California, Irvine, who reviewed a copy of the autopsy report for the AP. "The results are within normal limits."
Kain was not involved in the autopsy. The full autopsy report has not been released publicly, but the AP obtained a copy.
Jackson died at his rented Los Angeles mansion June 25 after his personal physician, Dr. Conrad Murray, administered the anesthetic propofol and two other sedatives to get the chronic insomniac to sleep, court documents state. Propofol, normally a surgical anesthetic used in operating rooms, acts as a respiratory depressant and requires constant monitoring,
Murray told police he left the room to use the bathroom and phone records show he also made calls for 47 minutes around the time Jackson encountered problems. When Murray realized Jackson was unresponsive, he began frantic efforts to revive him, but Jackson never regained consciousness and was declared dead at the University of California, Los Angeles Medical Center.
Details of Michael Jackson autopsy
Here are some of the findings from the Los Angeles County coroner's autopsy of Michael Jackson:
- He was 5-foot-9 and weighed 136 pounds.
- There were dark tattoos on his eyebrows and around his eyes, a pink tattoo around his lips and what appeared to be a dark tattoo on the front of his scalp.
- He was balding and suffered from a skin disease that reduced pigment and left patches of white skin.
- Osteoarthritis was visible in the lower spine and some fingers.
- He had multiple scars around his body, including behind his ears, along one shoulder, at the base of his neck and near his navel.
- His heart was strong but his lungs were inflamed. Other organs appeared normal.
- The anesthetic propofol, four other sedatives, the pain killer Lidocaine and a resuscitative drug were found in Jackson's system. His stomach had no discernible pills.
- No illegal drugs or alcohol were detected.
- The manner of death was ruled a homicide based, in part, on the propofol being administered in a non-hospital setting without any appropriate medical need.
- Consistent with CPR attempts, Jackson had a bruised chest and his sternum and several ribs were fractured.
尸检报告：杰克逊死前“很健康”
2009年10月1日 - 根据美联社称，他们已独家获得迈克尔·杰克逊（Michael Jackson）的尸检报告。报告中称，杰克逊尽管有些小病，但基本健康，而且根本不是媒体和小报传说中的滥用药物的“瘾君子”。
根据报告，杰克逊的双臂上布满了针孔，他的脸和颈部有伤疤并纹过眉毛和嘴唇，但他不像小报所描述的那样不健康和瘦骨嶙峋。
事实上，洛杉矶地方验尸官的报告表明杰克逊在因药物过量去世之前，就50岁的年纪而言，是相当健康的，他136磅的体重对于一名5英尺9英寸的男子来说也在可以接受的范围之内。他的心脏很强健，并没有血栓的迹象。他的肾和其它主要器官均正常。
杰克逊还是有健康问题，下部分的脊椎和手指有关节炎，腿动脉有轻微的血栓。问题最严重的是他的肺，验尸报告称他的肺长期发炎且肺容量减少，因而可能使他呼吸困难。但是，文件上说肺的情况并没有严重到成为导致死亡的直接或间接原因。
“他的总体健康情况很好，”加州大学麻醉系博士Zeev Kain说。Irvine为美联社审阅了验尸报告的副本，称结果在正常范围之内。
Klain并没有参与尸检，完整的验尸报告并没有对外公布，但是美联社得到了一份副本。
根据法庭文件显示，6月25日，在洛杉矶杰克逊租住的宅邸中，他的私人医生康拉德莫里为他注射了麻醉剂异丙酚和其它两种镇静剂以治疗长期失眠，而后杰克逊死亡。在正常情况下异丙酚，在手术室中作为手术用麻醉剂，它对呼吸有抑制作用并需要持续的检测。莫里告诉警方在杰克逊出现问题的时段里他离开房间去了洗手间，电话记录显示他打了47分钟电话。当莫里发现杰克逊没有反应时，他开始急救，但是杰克逊再也没有恢复意识并在加州大学医疗中心被宣布死亡。
上个月验尸官办公室宣布杰克逊的死因是“急性异丙酚中毒”和其它镇静剂引起的谋杀。他们表示这次注射不符合标准，并且被推荐用来检测病人情况的、确定用药剂量的、心肺复苏的仪器不见了。莫里是洛杉矶警方过失杀人的调查对象。他是否犯有刑事罪将由洛杉矶地方检察官办公室决定。莫里已经两次被警方叫去面谈。
除了在Youtube上发布的一段简短录像，莫里在杰克逊去世后并未发表过公开声明。在录像中，他说：“我说了实情并且相信真相终会大白于天下。”莫里的律师Edward Chernoff先前说他没有用任何可能导致使杰克逊死亡的药物。
在叫来救护人员的两小时后杰克逊被宣布死亡。不顾一切挽救这位明星的努力在遗体上明显体现了出来。根据尸检报告，因为心肺复苏术的原因，杰克逊的胸部有擦伤，肋骨有裂痕。一个叫球囊泵的机械装置被植入到他的心脏中以使它重新跳动。
杰克逊的尸体被直升机运往验尸官办公室，第二天早晨首席验尸官Lakshmanan Sathyavagiswaran和Christopher Rogers医生完成了完整的检查并特意进行了毒理学筛查以检测他身体中的药物。
除了异丙酚和镇静剂，唯一在杰克逊身体中找到的物质为利多卡因（一种局部麻醉剂）和麻黄素（广泛使用的心肺复苏刺激药物）。
没有发现其他合法或不合法的药物，也没有任何酒精。
Klain说他很惊讶于其它三种镇静剂，叫做苯二氮卓和异丙酚一起出现。麻醉医师有些时候把一个苯并与异丙酚混合使病人镇静，但是混合使用三种药增加了病人的危险。
“人们不把苯二氮卓和这些药混在一起，因为它们相互作用并且增加呼吸停止的危险，”Klain说：“添加它就会像杰克逊那样先停止呼吸然后心脏停搏。”
尸检结果瓦解了莫里可能的抗辩，即杰克逊在之前“隐瞒的严重疾病”增加了他自愿使用的药物所导致的死亡风险。既使杰克逊确实隐瞒了他肺部的疾病，检察官也可以证明莫里在注射药物之前应该发现了疾病，一名南加州大学专攻刑事犯罪辩护的临床法律教授Michael Brennan说。
“医生有责任知道他的病人是什么身体状况，”Brennan说，“医生要尝试用事实去证明他的病人告诉他的情况……而不仅仅依赖于病人对自己身体状况的描述。”
杰克逊在去世时正在准备他在伦敦的一系列复出演唱会，排练很严格，人们对杰克逊的身体能否支撑的了存在疑问。
但是除了他的肺，尸检报告没有鉴定出任何可能限制杰克逊表演能力的严重的身体问题。尸检报告也给出了杰克逊的身体从头到脚的细节。
杰克逊在左耳后面有一道3/4英寸长的伤疤，右耳后也有一条明显的伤疤。他鼻翼两侧各有一道伤疤，右肩上还有一条4英寸长的伤疤。他的颈部下面有一对3英寸长的伤疤，双臂和手腕上有一些小的伤疤。他的肚脐上也有一条小伤疤，腹部右侧有一条2英寸长的伤疤。
Klain说伤疤中的大半部分似乎来自整容手术，其它像膝盖的伤疤，可能来自医疗手术。
Klain说，医疗检查在双臂、膝盖、脚踝处发现了大量的针孔。腿上的针孔可能来自静脉注射，在验尸报告中没有提及。
杰克逊为美容进行了一些纹身，包括在眉毛和眼睛下部的深色纹画和在嘴唇周围的粉色纹画。
杰克逊前部的头发开始秃顶，其它头发短而卷曲。他在两耳之间秃顶的头皮看上去用深色纹画过。
验尸官还发现他胸部、腹部、面部和双臂上的皮肤色素脱失。验尸官亦发现杰克逊能活跃地产生的精子。
洛杉矶警署发言人April Harding回应说，调查还在继续，她不能做更多评论。
验尸报告简单总结：
他身高5英尺九英寸。体重136磅。并非杰克逊经纪人所说的160磅，也非化妆师所说的108磅。
- 他纹了眼线和眉毛，嘴唇周围纹了粉红色。头皮前部有暗色的纹身。
- 他正在秃顶，而且有皮肤病，这种疾病会减少黑色素并且在皮肤上留下白斑。
- 在低位脊椎和一些手指上有可见的关节炎。
- 他身体上有许多疤痕，包括耳后，一边肩膀，脖子下部，和肚脐附近。
- 他的心脏很强劲，可是肺部有炎症。其他器官正常。
- 在杰克逊体内发现了异丙酚和四种其他的镇定剂、止痛药利卡多因还有一种复苏药物。在他的胃里并没有可识别出的药片。
- 并未发现非法药物或者酒精。
- 死亡原因的基调被定为他杀，异丙酚在没有任何必须的医疗设施的非医院的状况下被使用。
- 杰克逊在胸部有瘀伤，而且他的胸骨和一些肋骨折断了，这是心肺复苏急救遗留下来的。
（作者：evelynhoo/lovelymj 校对：MJJCN 来源：MJJCN.com）
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