法医学杂志 ›› 2006, Vol. 0 ›› Issue (5): 381-384.

• 论文 • 上一篇    下一篇

早期心肌梗死死后诊断的法医病理学研究进展

何柯;吕纪平;朱新菊;王振原;   

  1. 西安交通大学医学院法医系,开封市金明区检察院技术科,西安交通大学医学院法医系,西安交通大学医学院法医系 陕西西安710061,河南开封475002,陕西西安710061,陕西西安710061
  • 发布日期:2006-10-25 出版日期:2006-10-28

Research Evolvement of Postmortem Diagnosis of Early Myocardial Infarction in Forensic Pathology

HE KE1, LU JI-PING2, ZHU XIN-JU1, WANG ZHEN-YUAN1 (1.DEPARTMENT OF FORENSIC MEDICINE, MEDICAL COLLEGE, XI′AN JIAOTONG UNIVERSITY, XIAN 710061,CHINA; 2.KAIFENG JINMING PEOPLE′S PROCURATORATE, KAIFENG 475002,CHINA)   

  • Online:2006-10-25 Published:2006-10-28

摘要: 心源性猝死在成人猝死的死因中占首位,心肌梗死是冠心病猝死的主要机制之一,由于早期心肌梗死发生突然,且可在短时间内死亡,肉眼和镜下都缺乏典型的形态学改变,一直都是法医实践中研究的热点,本文回顾多年来心肌梗死的研究成果在法医学中的应用及局限,展望新的临床指标在法医工作中的可行性,期望提高死后心肌梗死诊断的准确率。

关键词: 心肌梗死, 法医病理学, 血清标志物, 死后诊断

Abstract: The cardiac sudden death occupies primacy among the cause of death in adult. Myocardial infarction is one of the main mechanisms of sudden death of coronary heart disease. Because of early myocardial infarction happened abruptly and might die in a short time, and the typical or special changes in morphology is absent, so it is the focus of medico legal research forensic fulfill all long. This paper reviewed the characters of myocardial infarction, applications and limits in forensic fields, and prospected feasibility of new clinical markers in forensic practice, and expected to enhance accuracy of postmortem diagnosis in MI.

Key words: myocardial infarction, forensic pathology, serological marker, postmortem diagnosis