法医学杂志

法医学杂志 ›› 2016, Vol. 32 ›› Issue (5): 329-331.DOI: 10.3969/j.issn.1004-5619.2016.05.003

• 论著 • 上一篇    下一篇

离体心脏冠状动脉造影术及其法医学应用

吴永波1，郭恒军2，陈伟健3，李琦军4   

  1. （1. 石家庄市公安局刑事科学技术研究所，河北 石家庄 050021； 2. 石家庄市公安交通管理局事故处，河北 石家庄 050051； 3. 南宁市公安局，广西 南宁 530219； 4. 石家庄市第三医院创伤骨科，河北 石家庄 050011）
  • 发布日期:2016-10-25 出版日期:2016-10-28
  • 通讯作者: 李琦军，男，博士，副主任医师，主要从事创伤外科工作；E-mail：13832121438@163.com
  • 作者简介:吴永波（1972—），男，硕士，副主任法医师，主要从事法医病理学及临床法医学检验；E-mail：503724240@qq.com

Coronary Angiography in Isolated Hearts and Its Forensic Application

WU YONG-BO1, GUO HENG-JUN2, CHEN WEI-JIAN3, LI QI-JUN4   

  1. （1. Institute of Criminal Science Technology, Shijiazhuang Public Security Bureau, Shijiazhuang 050021,China; 2. Department of Accident Management, Shijiazhuang Public Security Bureau, Shijiazhuang 050051,China; 3. Public Security Bureau of Nanning, Nanning 530219, China; 4. Department of Orthopedics, Third Hospital of Shijiazhuang, Shijiazhuang 050011, China）
  • Online:2016-10-25 Published:2016-10-28

摘要： 目的 应用冠状动脉造影技术对离体心脏进行检查，以便更准确地发现冠状动脉病变的位置、性质和程度，提高综合评价心血管疾病的能力。 方法 提取10例不同死因的新鲜离体心脏，用指环注射器对离体心脏加压注射硫酸钡造影剂，在Xper FD20血管造影机下显影，获取图片及影像资料，应用造影机附带软件对所获得的影像资料进行三维成像处理。取冠状动脉组织HE染色，镜下观察，并与造影结果对比。 结果 10例检材经造影获得的影像学资料，其中8例冠状动脉主支及各分支未发现狭窄，2例检材发现存在Ⅲ级、Ⅳ级冠状动脉狭窄。与冠状动脉组织HE染色结果一致，二者相互印证。 结论 离体冠状动脉造影技术对于冠状动脉狭窄准确分级、血管畸形及微小病变的检验有其独特的优越性，可为尸体检验病理取材时微小病变的定位提供参考，为鉴定意见提供依据。

关键词: 法医病理学, 心血管造影术, 心脏, 冠状动脉

Abstract: Objective To check the isolated heart by coronary angiography to discover the location, nature and degree of the coronary artery lesions more accurately and increase the comprehensive evaluation ability of cardiovascular disease. Methods Ten fresh isolated hearts with different causes of death were extracted and injected with barium sulphate as contrast substance by ring injector, then developed under Xper FD20 angiography equipment. The obtained pictures and image data were handled by three-dimensional angiography images with the software attached to the angiography equipment. The coronary artery tissues were HE stained and observed by microscope. The HE staining results were compared with the angiographic results. Results The imaging data obtained from the 10 cases for examination showed 8 cases without coronary artery stenosis and 2 cases with Ⅲ, Ⅳ coronary artery stenosis, which were consistent with HE staining results of coronary artery organization and the both results were confirmed. Conclusion Isolated coronary angiography has an unique advantage for accurate grading of classification of coronary artery stenosis, examination of vascular malformation and tiny lesions, which can provide reference for the localization of small lesions and basis during the autopsy for identification conclusion.

Key words: forensic pathology, angiocardiography, heart, coronary artery

中图分类号: