法医学杂志

法医学杂志 ›› 2003, Vol. 0 ›› Issue (1): 62-66.

• 论文 • 上一篇    下一篇

阴性解剖中的心脏性猝死

于晓军,李澈,许锦阶   

  1. 汕头大学医学院法医学教研室,汕头大学医学院法医学教研室,汕头大学医学院法医学教研室 广东汕头 515031 ,广东汕头 515031 ,广东汕头 515031
  • 发布日期:2003-02-25 出版日期:2003-02-28

The sudden cardiac death in negative autopsy

YU XIAO-JUN, LI CHE, XU JIN-JIE (DEPARTMENT OF FORENSIC MEDICINE, MEDICAL COLLEGE OF SHANTOU UNIVERSITY, SHANTOU 515031)   

  • Online:2003-02-25 Published:2003-02-28

被引次数

12

摘要： 综述了近年来有关心脏性猝死的分子生物学和电生理学的研究进展,着重讨论了心震荡、先天性长QT间期综合征和Brugada综合征,可能诱发致死性心律失常,发生心脏性猝死。这些功能性病症死亡常可导致病理解剖时无明显客观器质性病理改变。提示法医和病理工作者在遇到阴性解剖猝死时,应注意了解猝死的诱因、继往病史和家族病史,注意排除可能存在的这些病症。

关键词: 心脏性猝死, 阴性解剖, 致死性心律失常

Abstract: The advancement of studies about the molecular biology and electronic physiology on sudden cardiac death was summarized in this article, including particularly cardiac concussion (commotio cordis), congenital long QT syndrome, and Brugada syndrome which probably resulting in fatal arrhythmia and sudden cardiac death. These corpses of fatal functional disorders often show the results of negative autopsy without obvious organic pathological changes. So when come across negative autopsy the medical examiner and the pathologist should be careful to investigate the inductive cause of sudden death, the history of disease, and the family history, then to rule out the possibility of the above disorders.

Key words: sudden cardiac death, negative autopsy, fatal arrhythmia