延边地区144例猝死病理及法医病理尸检分析

发布时间：2018-03-28 02:09

本文选题：猝死　切入点：尸体解剖　出处：《中国司法鉴定》2008年S2期

【摘要】：目的:探讨影响猝死(sudden death,SD)的各项因素。方法:对144例SD尸检病例的病因、特点、不明原因死亡的疾病分布、性别、年龄、民族、职别、日变异性和季节变异性等进行回顾性分析。结果:144例SD病例的死因中心血管系统疾病居首位,而胰腺性SD的发生率呈上升的趋势;男性SD病例(77.08%)明显多见于女性(22.92%,P0.05);朝鲜族与汉族的SD率之间无显著性差异;36～60岁人群为SD高发人群,其中冠心病性SD的患者有年轻化的表现;SD的日变异性高峰为22:00-6:00;季节变异性高峰为冬季。结论:(1)SD男性明显多于女性,朝汉族SD发生率无差别;(2)急性出血性胰腺炎SD率增高,SD多发生于夜间和冬季,寒冷的气候也是SD的危险因素之一;(3)科学正确地进行病理及法医尸体解剖,不但可以明确SD死因,丰富和发展相关临床学科的诊治,而且对提高临床诊治水平,准确鉴定医疗纠纷及司法鉴定具有重要意义。
[Abstract]:Objective: to investigate the factors affecting SDD. Methods: the etiology, characteristics, distribution, sex, age, nationality and occupation of 144 cases of SD autopsy were studied. Results among 144 cases of SD, cardiovascular disease was the first cause of death, while the incidence of pancreatic SD was on the rise. Male SD cases (77.08) were more common in females than in females (P 0.05), but there was no significant difference in SD rate between Korean and Han nationality. The peak of diurnal variability of SD patients with coronary heart disease was 22: 00-6: 00, and the peak of seasonal variability was winter. There was no difference in the incidence of SD in Han nationality. (2) the increase of SD rate in acute hemorrhagic pancreatitis occurred mostly at night and winter, and cold climate was also one of the risk factors of SD. (3) A scientific and correct pathological and forensic autopsy can not only determine the cause of death of SD. It is of great significance to enrich and develop the diagnosis and treatment of related clinical disciplines, and to improve the level of clinical diagnosis and treatment, and to accurately identify medical disputes and judicial expertise.
【作者单位】：吉林延平司法鉴定所;延边大学基础医学院病理学教研室;延边州公安局刑事科学技术研究所;
【基金】：延边大学引进人才协议书,科研资助基金(YJ-4-2007018)
【分类号】：D919.1

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