法医学杂志

法医学杂志 ›› 2007, Vol. 0 ›› Issue (4): 299-301.

• 论文 • 上一篇    下一篇

118例心源性猝死分析

何柯;徐建设;王振原;   

  1. 西安交通大学医学院法医系环境与疾病相关基因教育部重点实验室,瑞安市公安局刑事科学技术室,西安交通大学医学院法医系环境与疾病相关基因教育部重点实验室 陕西西安710061开封市金明区检察院,河南开封475002,浙江瑞安325200,陕西西安710061
  • 发布日期:2007-08-25 出版日期:2007-08-28

The Retrospective Study of Sudden Cardiac Death in 118 Cases

HE KE1,2, XU JIAN-SHE3, WANG ZHEN-YUAN1 (1. KEY LABORATORY OF ENVIRONMENT AND GENE RELATED TO DISEASES OF MINISTRY OF EDUCATION, DEPARTMENT OF FORENSIC SCIENCE, SCHOOL OF MEDICINE OF XI’AN JIAOTONG UNIVERSITY, XI’AN 710061, CHINA; 2.PEOPLE’S PROCURATORATE   

  • Online:2007-08-25 Published:2007-08-28

被引次数

9

摘要： 心源性猝死(sudden cardiac death,SCD)在成人猝死的死因中占首位,本文对1998-2005年陕西地区发生的118例SCD案例进行统计分析,结果显示男性是女性的5.9倍,其中冠心病占55.1%,心肌炎占17.8%,心肌病占9.3%,先天性心脏病、瓣膜病、主动脉夹层瘤破裂各占2.5%,其他疾病占4.5%。说明SCD多发于男性,冠心病仍是SCD的主要基础疾病,心肌炎是青少年SCD的主要原因,心肌病是青壮年SCD的危险因素,无结构异常的心脏病也同样严重威胁生命健康。

关键词: 心源性猝死, 死因分析, 危险因素, 回顾性研究

Abstract: The sudden cardiac death (SCD) is the primary cause of death in adults. 118 cases of sudden cardiac death from 1998 to 2005 in Shanxi area were studied. The results showed that there as 5.9 times of males as females. There were 55.1% coronary artery diseases, 17.8% myocarditis, 9.3% cardiomyopathy, 2.5% each of congenital heart diseases, valvular heart diseases, and rupture of dissecting aneurysm of aorta, and 4.55 of other diseases. The data indicate that SCD happened in males more often than in females and coronary artery disease was the most common disease. Myocardititis was more common in adolescents and cardiomyopathy was more prevalent in young adults resulting in SCD. The cardiac disease without abnormal structure changes might also be a serious threat to human health.

Key words: sudden cardiac death, analysis cause of death, risk factors, retrospective study