痔疮错误手术引起直肠阴道瘘1例

痔疮在人群中多发,临床上有多种疗法,但由于其位置的特殊性,如果方法不当,亦可引起严重后果。笔者在工作中遇到一例非法行医者对患者痔疮错误手术后引起患者直肠阴道瘘。案例:某女,27岁,广东新丰县人,过去一直患有痔疮(混合痔)。由于痔疮经常发生嵌顿,1998年10月6日去一无证行医者处治疗,行医者用手术钳夹住痔疮根部剪除,未行缝合,仅用棉花压迫止血,当时患者即觉疼痛难忍,有大量鲜血流出,口服大黄片即回家休息。10天后患者小便时发现阴道内有血、脓及粪便流出,即去医院检查,经肛镜检查发现肛周已全部感染发炎,表面有脓性物,在直肠前壁距肛缘…     

非法行医致马钱子中毒死亡1例

马钱子又名苦实、番木鳖、马前子 ,为马钱科植物马钱的种子。性寒 ,味苦 ,有毒。归肝、脾经。功效为散结消肿、通络止痛 ,传统上用于风湿顽痹、麻木瘫痪、疽痈肿痛、跌打损伤等病症的治疗。马钱子中毒致死偶有所见 ,笔者遇见1例 ,现报告如下。案例资料2 0 0 1年 11月 2 5日 ,于都县禾丰镇村民华某 (男 ,3 7岁 )被狗咬伤右下肢 ,受伤后即到县卫生防疫站注射狂犬疫苗 ,2 0 0 2年 3月 1日经县卫生防疫站作狂犬疫苗注射后中和抗体检测为阳性。但华某仍然感觉到伤肢有抽搐感 ,活动不灵活 ,到某医院诊治认为是局部神经损伤所致。遂到游医曾某处就…     

非法行医致马钱子中毒死亡1例

马钱子又名苦实、番木鳖、马前子,为马钱科植物马钱的种子.性寒,味苦,有毒.归肝、脾经.功效为散结消肿、通络止痛,传统上用于风湿顽痹、麻木瘫痪、疽痈肿痛、跌打损伤等病症的治疗.马钱子中毒致死偶有所见,笔者遇见1例,现报告如下.     

非法行医阿米卡星致死1例及法律责任分析

阿米卡星 (Ａｍｉｋａｃｉｎ,又称丁胺卡那霉素 )为卡那霉素的半合成衍生物 ,属氨基糖甙类抗生素 ,临床应用极为广泛 ,但有发生过敏性反应乃至死亡的报道[1～ 3] 。现将本室遇到的非法行医应用阿米卡星发生过敏性休克患者死在家中一例报道如下。案例　周某 ,女 ,76岁。 1 992年乳腺癌手术 ,愈后良好。平时生活自理。 1 999年 6月 1 2日下午 ,病人觉周身不适 ,低烧 ,体温未测。 6月 1 3日 1 7时许通过他人找来某医院医生刘某 ,并带有药品等。刘未写病志 ,简单询问病情。查体 :咽赤 ,颌下淋巴结肿大 ,双肺有干鸣 ,心率 98次 /分 ,脉搏 98次 /…     

“针刺”治疗致破伤风死亡1例

1案例资料 1．1简要案情 某女，62岁，农民，2006年4月12日因“类风湿性关节炎”致左膝关节疼痛到本村无证村医家中治病，村医用注射器针头在其左膝关节周围行“针刺治疗”，并用自配中药外敷，4月25日晚上该女出现抽搐，4月30日送石家庄市传染病医院治疗，确诊为破伤风，经抢救无效于5月2日死亡。     

特殊方式致热射病死亡1例

1案件简介杨某,女,7岁,患牛皮癣4年余,家人多方求医无果,听信邻村袁某用偏方为其女治病:袁某将杨某脱光衣服后用新剥的红山羊皮,羊肚、羊肠等覆盖包裹,再裹上绒单、地膜等;用羊胃套头仅露出口、鼻,戴上棉帽,然后加盖棉被置于热炕上发汗排毒。期间,杨某多次喊:“烫、湿、口渴、难受”,袁某等人未予理睬,后出现呕吐、烦燥、昏迷等症状直至死亡。治疗直至死亡历时约3h。2尸体检验尸表检验:尸长112cm,发育正常,营养一般。尸斑呈暗紫色,分布于颈、背、腰、臀及四肢背侧未受压部,指压不褪色。双瞳孔等大等圆,直径0.4cm,两眼球睑结合膜上有散在出血…     

非法行医致手足口病死亡1例分析

手足口病是由多种肠道病毒引起的常见传染病,临床较为常见,本文从手足口病的发生机制、临床表现、病程分期等方面对工作中遇到的一例非法行医导致手足口病患者死亡的案例进行分析。     

乌头碱中毒致死分析1例

1案例资料李某,女性,60岁,因西医诊断为“类风湿性骨关节炎10余年,腿痛伴半身麻木”就诊于某私人诊所。当诊医生诊断为“手足麻痺症”,给予“袪风散(含川乌9g)、五補丸(含附子1枚)”,酒调服,观察1h,未见异常,医生嘱其回家后继续观察,发现有口角麻痺,即用蜂蜜、香油口服以解毒。李某回家后半小时出现口角麻木,迅即用香油调服蜂蜜,症状无缓解;再过半小时后出现恶心、呕吐、头晕等,认为可能系饥饿所致,故服食少量面食,但症状仍无缓解,并出现渐进性意识障碍,家人叫来医生及120,李某已死亡。案情调查显示,该诊所医生从未学过医学知识,仅因同村一…     

1例非法行医致死案的死因分析讨论

<正>1 案例资料 简要案情 某女，43岁。因身体不适、“咳嗽”，于2003年7月22日晚8时许，到无行医执照的中药汤门市请退休医生诊治，退休医生以“上呼吸感染”给予生理盐水400ml、菌必治、丁胺卡那霉素、病毒唑、灭吐灵、维生素C、维生素B6处方，嘱其儿带药到患者家中输液治疗。当晚10时许，患者出现胸闷、呼吸困难、全身乏力、颜面肢端紫绀，急送医院抢救无效死亡。     

A case of death after ingestion of an agrochemical spreading agent

An agrochemical spreading agent was found near the slightly decomposed corpse of a deceased female. The appearance of the stomach contents suggested that ingestion of a surfactant had occurred before death. The spreading agent was found to contain nonionic nonylphenol ethoxylates (NPEO(n)) and anionic sulfonated naphthalene-formaldehyde condensates (SNFC(n)). A solid phase extraction cartridge containing a mixed reversed phase-weak anion exchange sorbent (Oasis WAX, Waters) was used to successfully extract both NPEO(n) and SNFC(n) from the blood. The cartridge was preconditioned with methanol and acetic acid (AcOH). After the dilute blood sample was applied to the cartridge, it was washed with AcOH, and then NPEO(n) and SNFC(n) were eluted with methanol/dichloromethane (7:3, v/v) and 5% NH(3)/80% methanol, respectively. The concentrations of NPEO(n=2-9) and SNFC(n=0) in the blood sample were 7.7μg/mL and 1.8mg/mL, respectively. It is possible that postmortem changes increased the concentration of SNFC(n=0) monomer by breaking down the polymer. However, the behavior of these compounds in the human body is unclear and further case studies are needed to investigate this result.     

肺叶裂伤治疗13天死亡尸检法医学分析1例

单纯性的肺叶裂伤如果救治及时，其预后均比较理想，一般不会危及生命。本例受伤后即在某县级人民医院住院治疗，但最终于伤后13天死亡。现将该案例报告如下。     

肺叶裂伤治疗13天死亡尸检法医学分析1例

单纯性的肺叶裂伤如果救治及时,其预后均比较理想,一般不会危及生命。本例受伤后即在某县级人民医院住院治疗,但最终于伤后13天死亡。现将该案例报告如下。案例2005年11月29日晚8时许,张某(男,21岁)在某歌厅被人刺伤全身多处,其中左肩胛下角处的刺伤进入胸腔,刺破左肺下叶形成两条3cm左右的裂创。入院后即行剖胸探查、肺裂伤修补及清创缝合术,术后第2天出现肺不张症状,第3天出现肺部感染症状,采取多种措施抗感染及促进肺复张,效果均不理想。术后第8天X线检查发现,左下肺创伤性湿肺,左侧液气胸包裹形成。突发应激性溃疡出血,经抢救后有所好…     

酗酒后外伤性蛛网膜下腔出血及其死因分析

酗酒后外伤性蛛网膜下腔出血及其死因分析于晓军，吴家Ａｎａｌｙｓｉｓｏｆｃａｕｓｅｏｆｄｅａｔｈｆｏｌｌｏｗｉｎｇｔｒａｕｍａｔｉｃｓｕｂａｒａｃｈｎｏｉｄｈａｅｍｏｒｒｈａｇｅａｆｔｅｒｄｒｕｎｋ￥ＹｕＸｉａｏｊｕｎ；ＷｕＪｉａｗｅｎ（Ｄｅｐａｒｔｍ...     

Amniotic fluid embolism as cause of death in a car accident--a case report

Amniotic fluid embolism (AFE), a relatively rare complication in pregnancy, has a high mortality rate. We describe a case of a 38-week pregnant woman with such an embolism leading to almost immediate death after a blunt abdominal trauma inflicted in a motor vehicle accident and probably associated with improper positioning of a seat belt. It has been assumed that the pathophysiology of amniotic fluid embolism is related to an anaphylactoid reaction and that mast cell degranulation indicates this mechanism. Moreover, immunohistochemical antitryptase staining of pulmonary tissue samples in our case revealed mast cell degranulation.     

Subvalvular aortic stenosis as a cause of sudden death: two case reports

Sudden death is defined as a death that occurs suddenly, develops during an unpredictable course, and is due to natural or unnatural causes. Although there is no universally standardized definition on how "sudden" a sudden death is, WHO defines sudden death as a death that occurs within 24 hours after the onset of symptoms. The aim of this study is to present 2 rarely reported autopsy cases and to emphasize the importance of systemic autopsy at sudden death. On macroscopic examination, crescent-shaped, thick, fibrous membranes, located 5 mm and 3 mm away from the aortic valves, were detected. Fibrous membranes extended from the ventricular septum to the left ventricular outflow tract, thus apparently narrowing this region. Left ventricular wall and septum were slightly thickened, and there were scattered grayish-white areas of a small diameter. These became more intense in the septum and myocardium of the left ventricle on the anterior plane of the myocardial sections. In both cases, the aortic valves of were thickened and also markedly narrowed on one of them. In this case, the fibrous membrane adhered to the aortic valve and extended to the anterior leaflet of the mitral valve at one side. Both aortic valves comprised 3 leaflets. Other valves and coronary arteries showed no macroscopic pathologic findings. Microscopic examination of both cases demonstrated that the fibrous membrane comprising abundant collagen fibers was situated on the ventricular septum. Hypertrophy, moderate to severe interstitial fibrosis, and focal areas of scarring were observed in the specimens taken from the septal and ventricular myocardium. No abnormality was found on the conduction system examinations. Toxicologic analysis results in blood were negative. Based on the findings, membranous-type (discrete type) subvalvular aortic stenosis, diagnosed during the autopsy, was considered as the cause of sudden death in both cases.     

Sudden death after a cold drink: case report

We report a case of sudden cardiac death in a 12-year-old boy after rapid ingestion of a frozen slurry drink. The cause of death was determined to be a cardiac arrhythmia secondary to a previously undiagnosed cardiac rhabdomyoma with associated myocardial scarring. Ingestion of cold liquids has been associated with syncope, but not sudden cardiac death. In this case, bradycardia induced by cold-induced vasovagal reflex may have precipitated the terminal arrhythmia. Ingestion of cold liquids should be considered a potential trigger for fatal cardiac arrhythmias in patients with underlying heart disease.