| 原发性蛛网膜下腔出血的讨论——附7例尸检报告 |
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| 引用本文： | 麻永昌.原发性蛛网膜下腔出血的讨论——附7例尸检报告[J].中国法医学杂志,1986(2). |
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| 作者姓名： | 麻永昌 |
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| 作者单位： | 公安部第二研究所法医研究室 |
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| 摘 要： | 本文报告7例法医病理解剖材料,其中脑血管动静脉畸形引起的5例,动脉瘤与巨细胞性动脉炎引起的各1例。因死亡都是发生在头部外伤之后,故引起申诉。肉眼检查时,7例中有6例未查明病因,诊断系依靠病理组织学检查。本文结合文献复习,重点讨论了检验鉴定的方法和注意事项。文中4个重新鉴定的案例,原结论均未发现本病的病因,甚至有的误认是损伤性蛛网膜下腔出血,此点应引以为戒。
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| 关 键 词： | 蛛网膜下腔出血 猝死 脑动脉瘤 脑血管动静脉畸形 |
DISCUSSION ON PRIMARY SUBARACHNOID HEMORRHAGE:REPORT OFSEVEN AUTOPSY CASES |
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| Ma Yongchang.DISCUSSION ON PRIMARY SUBARACHNOID HEMORRHAGE:REPORT OFSEVEN AUTOPSY CASES[J].Chinese Journal of Forensic Medicine,1986(2). |
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| Authors: | Ma Yongchang |
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| Institution: | Ma Yongchang Department of Forensic Medicine,Institute of Forensic Science,Ministry of Public Security,Beijing |
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| Abstract: | Prim ary subarachnoid hemorrhage(SAH)is not uncommon in forensic autopsy.This paper reported 7 cases of primary SAH.Disputes about the cause of death arose because death occured after minor head injuries.Through thorough histopathological examination,causesof primary SAH in these 7 ca- ses were determined:arteriovenous malformation of the brain in 5 cases; aneurysm in 1 case;giant cell arteritis in 1 case.Causes of SAH were undeter- mined macroscopically in all these cases.The misdiagnosis of traumatic SAH were made in 4 reappraisal cases.Facts indicated the importance of thorough histopathological examination tor determining real causes of SAH. The literature was reviewed and the methods of histopathological exa- mination,as well as the attention it must paid were discussed. |
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| Keywords: | Subarachnoid hemorrhage(SAH) Arteriovenous malformation(AVM) Aneurysm Sudden death |
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