法医学杂志 ›› 1990, Vol. 0 ›› Issue (3): 1-5.

• 论文 •    下一篇

外伤性心肌梗塞——法医病理学研究

李德祥;   

  1. 中国医科大学法医系,
  • 发布日期:1990-06-25 出版日期:1990-06-28

Forensic Pathological Study of Traumatic Myocardial Infarction in Seven Cases

LI DE-XIANG CHINA MEDICAL UNIVERSITY   

  • Online:1990-06-25 Published:1990-06-28

摘要: <正> 众所周知,心肌梗塞以心脏冠状动脉粥样硬化所致心肌缺血性坏死最多见,然而非粥样硬化性者包括冠状动脉痉挛及心肌缺血再灌流损伤等也不容忽视,尤其外伤性心肌梗塞更应引起充分注意。为此,作者从事本题研究。

Abstract: Seven examples of traumatic myocardil infarction caused by blunt forceseffecting on the chest described.This study is based on seven cases of foren-sic pathological autopsy in which the clinical history and the pathologicalchanges of traumatic myocardial infarction was confirmed.In five cases of theseven the lesion was not recognised at the time of the blunt trauma but becameclinically important 6 to 27 hours laters,especially after sleeping.As all theseven patients were young(18—35 years old)and had unusual traumatic lesionsthe damage of myocardial infarction could be attributed to the blunt forces onthe chest of patients.This study demonstrated that the myocardial infarction may be caused bythe blunt forces on chest of healthy young men.