82例肾上腺出血的法医病理学分析

目的 分析肾上腺出血与个体死亡原因、年龄和性别的关系。方法 对82例。肾上腺出血的案例进行统计学分析。结果 （1）肾上腺出血在猝死、感染、外伤和窒息中最多见。（2）肾上腺出血男性多于女性。猝死、外伤和中毒的肾上腺出血多见于青壮年，感染以幼儿多见，窒息主要为胎儿和新生儿。（3）猝死和窒息的肾上腺出血部位主要在髓质，感染以皮质出血为主，外伤在包膜和髓质的出血概率相等。结论 在法医检案过程中，肾上腺出血可以为寻找死因提供线索。

A Forensic Pathologieal Study of Eighty-two Cases of Adrenal Hemorrhage

Objective To analyze the relationship between adrenal hemorrhage and the cause of death,age and gender.Methods Eighty-two cases of adrenal hemorrhage were statistically analyzed.Results Adrenal hemorrhage occurred mostly in cases of sudden death,infection,trauma and asphyxia.Male had more chance than female to have adrenal hemorrhage.Adrenal hemorrhage caused by sudden death,trauma and poisoning was more frequently seen in young adults,whereas adrenal hemorrhage in children as well as in fetus and newborns was often caused by infection as well as sudden death and asphyxia respectively.Adrenal hemorrhage caused by sudden death and asphyxia was mainly located in medulla,while the infection usually induced hemorrhage in cortex.Adrenal hemorrhage caused by trauma showed an equal opportunity in either the cortex or medulla.Conclusion Our data indicate that adrenal hemorrhage might provide some clues in searching for the cause of death.