严重胸腔积液猝死尸检的病理学研究

发布时间：2018-06-07 21:22

本文选题：胸腔积液 + 猝死　；参考：《现代预防医学》2013年15期

【摘要】：目的探讨胸腔积液死亡遗体的病理学研究。方法对2004～2010年间9～65岁之间胸腔积液猝死尸体进行了系统病理解剖、组织学检查、细胞学检查及临床分析,用光学显微镜和免疫组织化学染色进行研究。结果胸腔积液猝死6例患者遗体病理学研究形态改变:(1)6例胸腔积液量均在400ml以上,仅右侧胸腔积液1例(1/6),仅左侧胸腔积液1例(1/6),双侧胸腔积液4例(4/6),细胞学检查无恶性肿瘤细胞、化验结果均为漏出液;(2)确诊为风湿性心脏病者3例(3/6);(3)确诊慢性肺源性心脏病者2例(2/6);(4)食管下端周围静脉丛血栓机化栓塞伴间质性肺炎者1例(1/6)。结论 6例胸腔积液患者均有心血管系统疾病,而就诊时临床症状隐蔽,与病情不吻合,早期诊断困难。为提高对本病的认识,对可疑患者选用全面检查手段,能有效地减少误诊及延误治疗,降低患者死亡率。
[Abstract]:Objective to investigate the pathological study of the dead remains of pleural effusion. Methods the sudden death of pleural effusion between 9 ~ 65 years old from 2004 to 2010 was studied by means of systematic pathological anatomy, histological examination, cytological examination and clinical analysis, and was studied by optical microscope and immunohistochemical staining. Results the morphological changes of 6 cases of sudden pleural effusion death were found in 6 cases. The volume of pleural effusion was above 400ml in 6 cases. There were only 1 case of right pleural effusion, 1 case of left pleural effusion, 4 cases of bilateral pleural effusion, and 4 cases of bilateral pleural effusion. Cytological examination showed that there were no malignant tumor cells. The results were as follows: (2) 3 cases of rheumatic heart disease were diagnosed as rheumatic heart disease. 3 cases were diagnosed as chronic pulmonary heart disease. 2 cases were diagnosed as chronic pulmonary heart disease. 2 cases (2 / 6 / 4). Thromboembolism of inferior esophageal peripheral venous plexus with interstitial pneumonia in 1 case (1 / 16%). Conclusion all 6 cases of pleural effusion had cardiovascular diseases, but the clinical symptoms were concealed, which did not coincide with the condition, and the early diagnosis was difficult. In order to improve the understanding of this disease and select comprehensive examination methods for suspicious patients, misdiagnosis and delayed treatment can be effectively reduced, and the mortality rate of patients can be reduced.
【作者单位】：湘南学院基础医学部病理研究所;
【基金】：湖南省教育科学“十二五”规划2011年度省级课题,病理检验技术设计性实验教学的探索和实践(XJK011CGD038)
【分类号】：R361

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