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心肌炎侵及心传导系统病理学观察
引用本文:宋一璇,傅晨钟,祝家镇,姚青松,梁赏猷.心肌炎侵及心传导系统病理学观察[J].中国法医学杂志,1992(4).
作者姓名:宋一璇  傅晨钟  祝家镇  姚青松  梁赏猷
作者单位:中山医科大学法医系,中山医科大学法医系,中山医科大学法医系,广州市刑事科学技术研究所,广州市刑事科学技术研究所 广州 510089,广州 510089,广州 510089
摘    要:本研究采用已建立的人体心脏传导系统简易取材法,对6例心肌炎的案例进行了传导组织的病理学观察,结果发现6例心肌炎患者CCS均有明显炎症,尤以SAN、AVN病变为主;推测CCS炎症可能为心肌炎患者猝死的主要原因。因此,本文提出对怀疑心性猝死案例应作常规传导系统检查。

关 键 词:心传导系统  猝死  心肌炎

HISTOPATHOLOGY OF THE CARDIAC CONDUCTING SYSTEM IN CASES OF MYOCARDITIS DIED SUDDENLY
Abstract:The simplified method designed by the authors for the examination of cardiac conducting system (CCS) was used for the observation of histopathology of the CCS from 6 cases of myocarditis died suddenly. All the 6 cases showed obvious inflammation of CCS especially in sino—atrial node (SAN) and atrioventricular node (AVN) . It is inferred that inflammation of the CCS mas the key mechanism of the sudden death of these 6 cases. It is, therefore, suggested that any case of cardiac sudden death should have the CCS examined.
Keywords:Cardiac conducting system Sudden death Myocarditis
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