猝死的法医病理学回顾性研究——附904例猝死资料分析

发布时间：2018-03-02 09:02

本文关键词： 法医病理学猝死回顾性研究非心血管疾病器质性病变诱发因素间质性心肌炎冠状动脉青壮年齐齐哈尔市　出处：《中国司法鉴定》2008年S2期 　论文类型：期刊论文

【摘要】：探讨猝死的法医病理学特点及其流行行为病学特征。收集黑龙江省齐齐哈尔市、哈尔滨市公安系统904例猝死尸检资料,将904例尸检材料分为心血管疾病和非心血管疾病组,从性别、年龄、职业、发病季节、病程时限以及诱发因素等进行统计学处理,并对每组病例进行了死因分析。904例猝死死者中,心血管疾病组和非心血管疾病组的年龄均以21—60岁最多,占76.3%,31—40岁达最高峰,占23.3%。本文中男性693例,女性211例,男女之比为3.3:1。其中心血管疾病组性别差异更为显著,男女之比为5.5:1。职业以体力劳动者及市民为多,共657例,占72.68%,脑力劳动者共247例,占27.32%。猝死可发生在任何季节,但以寒冷的冬季为多,共429例,占47.5%。猝死绝大多数死于医院外的各种环境和情况下,情绪激动时发生共258例,占28.4%,在诱因中占首位。猝死的时间限度均为24小时以内及睡眠中,符合WHO所规定的时限。各系统疾病均有发生猝死的,但以心血管疾病占首位,共503例,占55.64%,非心血管疾病共401例,占44.36%。
[Abstract]:To investigate the characteristics of forensic pathology and epidemic behavioral diseases of sudden death, 904 cases of sudden death were collected in Qiqihar City, Heilongjiang Province, and 904 cases of sudden death were divided into cardiovascular disease group and non-cardiovascular disease group. Sex, age, occupation, onset season, duration of disease and inducing factors were statistically analyzed. The causes of death of each group of patients were analyzed. 904 cases of sudden death were analyzed. The ages of cardiovascular disease group and non-cardiovascular disease group were 21-60 years old, accounting for 76.30.31-40 years old reached the highest peak, accounting for 23.30.In this paper, 693 males and 211 females, the ratio of male to female is 3.3: 1.The difference between male and female is more significant. The ratio of men to women is 5.5: 1.The number of occupations is more than that of manual workers and citizens, with 657 cases, accounting for 72.68 cases, and 247 cases of mental workers, accounting for 27.32%. Sudden death can occur in any season, but in cold winter, there are 429 cases. Sudden death accounted for 47.5%. The majority of sudden death died in various circumstances and circumstances outside the hospital. There were 258 cases of emotional agitation, accounting for 28.4 cases, which occupied the first place in the inducement. The time limit of sudden death was within 24 hours and in sleep. According to the time limit stipulated by WHO, sudden death occurred in all diseases, but cardiovascular disease was the first, accounting for 55.64 cases, and non-cardiovascular disease in 401 cases (44.36%).
【作者单位】：齐齐哈尔医学院附属第三医院司法鉴定中心;
【分类号】：D919.1

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