法医学杂志

法医学杂志 ›› 2007, Vol. 0 ›› Issue (6): 447-449.

• 论文 • 上一篇    下一篇

静脉气体栓塞的研究进展

夏晶;张琳琳;陈新山;   

  1. 华中科技大学同济医学院法医病理学教研室,华中科技大学同济医学院法医病理学教研室,华中科技大学同济医学院法医病理学教研室 湖北武汉430030,湖北武汉430030,湖北武汉430030
  • 发布日期:2007-12-25 出版日期:2007-12-28

Recent Advances in Venous Air Embolism

XIA JING, ZHANG LIN-LIN, CHEN XIN-SHAN (DEPARTMENT OF FORENSIC PATHOLOGY, TONGJI MEDICAL COLLEGE OF HUAZHONG UNIVERSITY OF SCIENCE AND TECHNOLOGY, WUHAN 430030, CHINA)   

  • Online:2007-12-25 Published:2007-12-28

被引次数

12

摘要： 气体栓塞是一种较多见而又威胁生命的医疗操作并发症,在法医学实践中也时有所遇,但易被检验者所忽略;也常因尸体放置较久而给法医学检验和鉴定带来困难。在此综述了静脉气体栓塞的病因、病理生理变化、临床表现及诊断和法医学鉴定的意义及注意事项,认为超声心动图、CT和MRI等现代成像技术在气体栓塞的临床诊断和法医学鉴定中有积极的辅助作用。

关键词: 法医病理学, 静脉气体栓塞, 超声心动图, CT, MRI

Abstract: Air embolism, a life-threatening complication of medical procedure, is a frequently encountered challenge in the forensic practices. It can be easily missed due to ignorance by forensic examiner or it could be difficult to be identified due to prolonged storage of the cadaver. This article reviews the etiological factors, pathophysiological changes, clinical manifestation, diagnosis, and the medicolegal identification of air embolism. The authors suggest that modern imaging techniques including echocardiogram, computer tomography, and magnetic resonance imaging play an important role in the clinical diagnosis and forensic identification of air embolism.

Key words: forensic pathology, venous air embolism, echocardiogram, CT, MRI