23例心腔内血栓形成的原因及病理学分析

对对例23内血栓形成的病理资料进行统计分析,发现有9例系全身广泛软组织损伤所致,13例系各种心脏疾病所致,两者间无显著性差异（P＞0．05）。外伤主要致心内白色血栓形成,且以右心腔好发（P＜0．001）;各种心脏疾病主要致混合血栓形成,左右心腔均可发生（P＞0．05）;心内血栓形成部位、血栓类型与原因间有高度相关性（P＜0．001）。本文结合文献,就心内血栓形成的原因、机理、和法医学鉴定要点等进行了讨论。

Pathological studies of 23 cases of thrombus formation in cardiac cavity

23 cases of thrombus formation in cardiac cavity werestudied. 9 were caused by extensive trauma in soft tissue, 13by various cardiac diseases. There was no significant difference between trauma and heart disease (p > 0. 05). Thewhite thrombus formation was mainly caused by truma andwas often found in the right cardiac cavity (P< 0.001 ). Themixed thrombus was mainly caused by heart disease and nodifference was found between in fight and left cardiac cavity(p > 0. 05). The types, positions and causes of thrombuswere significantly related (p < 0. 001 ). The causes, pathologic mechanism and forensic identification of thrombus formation in cardiac cavity were discussed.