法医学杂志

法医学杂志 ›› 2013, Vol. 29 ›› Issue (1): 28-30.DOI: 10.3969/j.issn.1004-5619.2013.01.007

• 案例分析 • 上一篇    下一篇

云南地区旋毛虫病致死9例的分布及病理学特点分析

刘  翔，杨利萍，白  桦，赵以诚   

  1. （昆明法医院司法鉴定中心，云南 昆明 650034）
  • 发布日期:2013-02-25 出版日期:2013-02-28
  • 作者简介:刘翔（1979—），男，云南昆明人，主要从事法医临床学和法医病理学鉴定；E-mail：lucifer277@126.com

Analysis of Distribution and Pathological Characteristics of 9 Fatal Trichinosis Cases in Yunnan

LIU XIANG, YANG LI-PING, BAI HUA, ZHAO YI-CHENG   

  1. （Forensic Science Identification Center of Kunming Forensic Hospital, Kunming 650034, China）
  • Online:2013-02-25 Published:2013-02-28

被引次数

4

摘要： 目的 分析云南地区旋毛虫病致死案例的法医病理学特点，并总结和分析旋毛虫病在云南地区的人群分布特点。 方法 收集近年来昆明法医院司法鉴定中心受理的旋毛虫病致死法医病理学案件9例，对旋毛虫病病理学及流行病学特点进行分析。 结果 9例旋毛虫病致死案例均系心肌炎并发心力衰竭死亡，其中1例合并脑炎，3例合并肺炎。人群分布主要为白族、傣族人群。地域分布多集中在大理、德宏、临沧、西双版纳等地。流行时间多集中在冬春季。 结论 旋毛虫病的发病原因与生食猪肉的习惯密切相关，其死亡案例中肌肉系统的病理改变可作为诊断的主要依据。

关键词: 法医病理学, 流行病学, 旋毛虫病, 云南

Abstract: Objective To explore forensic pathology features of the fatal trichinosis cases and to summarize the population distribution characteristics of trichinosis in Yunnan. Methods Nine recent fatal trichinosis cases were collected from the Forensic Science Identification Center of Kunming Forensic Hospital. Pathological and epidemiological characteristics of trichinosis were analyzed. Results The nine cases were all died in heart failure due to myocarditis. Among them, 1 case was complicated by encephalitis and 3 cases were complicated by pneumonia. The population mainly involved Bai and Dai nationalities. The geographic distribution was concentrated in Dali, Dehong, Lincang, Xishuangbanna, etc. The cases commonly appeared in winter and spring. Conclusion The cause of trichinosis is closely due to the habit of eating raw pork. It can be diagnosis through the pathological changes of the muscle system in the death cases.

Key words: forensic pathology, epidemiology, trichinosis, Yunnan

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