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97例心性猝死的法医病理学分析
引用本文:鲍现宝,王成权,李永宏,程利宝.97例心性猝死的法医病理学分析[J].刑事技术,2008(3):13-16.
作者姓名:鲍现宝  王成权  李永宏  程利宝
作者单位:1. 皖南医学院法医系,芜湖,241001
2. 安徽省芜湖市公安局刑科所,241000
摘    要:目的探讨心性猝死(SCD)的特点、病理基础及致死因素和诱因等。方法对本系2002年12月至2006年12月期间,所作450例法医病理检案的97例心性猝死案例进行分析研究。结果97例SCD患者中,冠心痛猝死38例,心肌炎23例,心肌痛16例,高血压性心脏病12例,主动脉瘤破裂4例,肺栓塞4例。结论SCD病程短骤、凶险,以老年男性多见,冠心病占首位。由于猝死的因素繁多,因此对猝死事件的法医学鉴定要根据其发生特征和变化规律,作出客观、全面、准确的签定结论。

关 键 词:法医病理学  心性猝死  死亡原因  诱因
文章编号:1008-3650(2008)03-0013-04
修稿时间:2007年7月30日

The analysis of 97 cases of sudden cardiac death with forensic pathology
Institution:BAO Xian-bao, WANG Cheng-quan, LI Yong-hong, et al. (Dept. of Forensic Medicine, Wannan Medical College, Wuhu 241001 ,China)
Abstract:Objective To investigate the clinical features, pathological bases, causes and induced cause of sudden cardiac death (SCD). Methods 97cases of SCD from 450 pathological examed cases during 2002. 12-2006.12 in forensic pathology department of Wan Nan Medical College were studied. Results 38 cases died of coronary atherosclerotic heart disease in 97 cases of SCD. The other causes of SCD found were: myocarditis in 23 cases, myocardiosis in 16, hypertensive heart dieases in 12, ruptured aortic aneurysm in 4,and acute pulmonary embolism in 4. Conclusion Sudden and dangerous SCD frequently attacked the older male group. The first cause of SCD was coronary atherosclerotic heart disease. We'd make a objective, complete and precise conclusion based on the characteristics and regularity of sudden death in medicolegal expertise, for a variety of causes of SCD.
Keywords:forensic pathology  sudden cardiac death  causes of death  induced cause
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