219例损伤与疾病关系的尸检案例分析

目的探讨损伤与疾病关系案例的特点。方法对本教研室近20年的219例涉及损伤与疾病关系的尸检案例进行回顾性研究。结果①219例中,20~59岁青壮年占71.7%;伤后<24h死亡占48.9%。②损伤以拳、足等钝器伤为主,以擦伤和挫伤多见,主要位于头、胸部。③疾病以心血管疾病最多,CNS疾病次之。④损伤与疾病相关的案例占71.2%,最常见的是“疾病为主、损伤为辅”。结论损伤与疾病关系案例的死者多为男性青壮年,冠心病和病理性脑出血是两个主要的疾病;将损伤与疾病关系分为“单纯损伤致死、单纯疾病致死、损伤为主疾病为辅和疾病为主损伤为辅”四类简单而实用。

Forensic pathological studies of the relationship between traumas and diseases: with report of 219 autopsy cases

Objective To study characteristics of the cases involved in the relationship between trauma and disease.Methods The retrospective study was carried out to the autopsy cases involved in the relationship between injury and disease and autopsied in our department from 1980 to 1999.Results ① Of 219 cases, there were 189 cases in men and 30 in women, with ranging in age from 1 to 87 years old ( 44.1 years). Most of them was men in young and middle age of 20~59 years. Almost half of the victims died <24h after injury. ② The traumas were caused mainly by bare-handed and other blunt instruments and were abrasion and contusion, which located chiefly in head and thoracic parts.③ The two major natural diseases were the diseases of cardiovascular and central nervous systems. ④ The cases which trauma related to disease accounted for 71.2%.Conclusion Most of victims involved in the relationship between injury and disease are men in age from 20 to 59 years old. The coronary heart disease and pathological cerebral hemorrhage are two commonest natural diseases in these cases. It is simple and practical to the cases which involved in relationship between injury and disease was divided into 4 types as follows: death is caused only by trauma or disease, the main cause of death is trauma but disease is only subsidiary factor and the main cause of death is disease but trauma is auxiliary or inducing factor.