126例猝死尸检资料分析

发布时间：2019-01-02 10:54

【摘要】：【目的】猝死(sudden death, SD)是凡属未能预期的、非创伤的、非自杀性的突然死亡。本文探讨影响SD发生的原因、特点、不明原因死亡的疾病分布、性别、年龄、民族、职别、日变异性及季节变异性等各项因素,为延边地区基层医院能够快速、准确诊断和防治SD发生以及对SD的全面认识提供必要的科学的理论依据。【方法】本文通过收集延边大学医学院病理学教研室自1950—2005年间尸检资料1556例,对其中126猝死病例的病因、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统计分析。【结果】结果表明,猝死病例126例,其中心血管系统疾病占首位56例,其次为消化系统,中枢神经系统。经分析:男性病例(76.98%)明显多于女性病例(23.12%),有统计学差异(x~2=10.053,P0.05)。朝鲜族与汉族的猝死的检出率没有显著性差异。36～60岁人群为猝死的高发人群,其中冠心病性猝死的患者有年轻化的表现。猝死的日变异性高峰在22:00～6:00,季节变异性高峰在冬季。近年来,消化系统疾病稍多,其中胰腺型猝死有明显上升的趋势,这主要是与不良的生活习惯有密切的关系,尤其是大量的饮酒是其主要的诱发原因。从职业分布上来看,从事体力劳动的人群更容易发生猝死。
[Abstract]:Objective: sudden death (sudden death, SD) is an unexpected, non-traumatic, non-suicidal sudden death. The causes, characteristics, disease distribution, sex, age, nationality, job type, daily variability and seasonal variability of SD were discussed in this paper. Accurate diagnosis, prevention and treatment of SD and comprehensive understanding of SD provide necessary scientific theoretical basis. [methods] A total of 1556 autopsy cases were collected from the Department of Pathology of Yanbian University from 1950 to 2005. The causes and characteristics of 126 sudden death cases and the distribution of unknown causes of death were analyzed. Gender, age, nationality, job type, daily variability and seasonal variability were analyzed retrospectively. [results] among 126 cases of sudden death, 56 cases were cardiovascular diseases, followed by digestive system and central nervous system. The analysis showed that the number of male cases (76.98%) was significantly higher than that of female cases (23.12%). There was no significant difference in the detection rate of sudden death between Korean nationality and Han nationality. The peak of diurnal variability of sudden death was 22: 00 to 6: 00, and the peak of seasonal variability was in winter. In recent years, there are more diseases of digestive system, especially sudden death of pancreas, which is closely related to bad living habits, especially alcohol consumption is the main cause of sudden death of pancreas. In terms of occupational distribution, people engaged in manual labor are more likely to die of sudden death.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R361

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