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肺动脉栓塞致死23例法医学分析
引用本文:胡东阳,黄雷,侯一丁,刘双高,黄翠,李琦,成建定,唐双柏.肺动脉栓塞致死23例法医学分析[J].中国司法鉴定,2013(1):53-55.
作者姓名:胡东阳  黄雷  侯一丁  刘双高  黄翠  李琦  成建定  唐双柏
作者单位:1. 南阳市中级人民法院,河南南阳,473000
2. 中山大学中山医学院法医学系,广东广州,510080
3. 广州军区广州总医院附属第157医院,广东广州,510510
4. 黄山市中医院,安徽黄山,245000
摘    要:目的总结分析肺动脉栓塞致死的一般特点,探讨法医病理学鉴定要点及注意事项。方法对2001~2011年在中山大学法医鉴定中心鉴定的23例肺动脉栓塞案例进行回顾性分析。结果肺动脉栓塞致死以男性多见;发病年龄主要集中在31~70岁之间;主要诱因是严重外伤、长期卧床后运动,以下肢静脉系统血栓形成并脱落致肺动脉栓塞最为常见。结论对肺动脉栓塞致死案例法医病理学鉴定要点进行了总结。

关 键 词:法医病理学  肺动脉栓塞  血栓栓塞

Analysis of 23 Forensic Medical Cases of Sudden Death Caused by Pulmonary Embolism
HU Dong-yang,HUANG Lei,HOU Yi-ding,LIU Shuang-gao,HUANG Cui,LI Qi,CHENG Jian-ding,TANG Shuang-bo.Analysis of 23 Forensic Medical Cases of Sudden Death Caused by Pulmonary Embolism[J].Chinese Journal of Forensic Sciences,2013(1):53-55.
Authors:HU Dong-yang  HUANG Lei  HOU Yi-ding  LIU Shuang-gao  HUANG Cui  LI Qi  CHENG Jian-ding  TANG Shuang-bo
Institution:1.Nanyang Intermediate People’s Court,Nanyang 473000,China;2.Department of Forensic Medicine,Zhongshan School of Medicine,Sun Yat-sen University,Guangzhou 510080,China;3.Clinical Department,157th Hospital Affiliated to Guangzhou General Hospital of Military,Guangzhou 510510,China;4.Department of Acupuncture,Traditional Chinese Medical Hospital of Huangshan,Huangshan 245000,China)
Abstract:Objective To analyze and summarize the characteristics of pulmonary embolism and to explore the key points and matters needing attention in forensic pathological examination of pulmonary embolism.Method 23 cases of pulmonary embolism were collected from Forensic Science Institute of Sun Yat-sen University from 2001 to 2011 and analyzed.Results Pulmonary embolism was more common in men.The age of onset was mainly between 31 and 70.The main cause was the severe trauma,and prolonged bed rest after exercise.Lower limb venous thrombosis shedding is the commonest reason.Conclusion The fatal characteristics of pulmonary embolism and key points in forensic pathological examination are summarized.
Keywords:forensic pathology  pulmonary embolism  thrombo embolism
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