法医学杂志 ›› 2009, Vol. 0 ›› Issue (1): 57-60.

• 论文 • 上一篇    下一篇

心肌致密化不全及其法医学鉴定

杨帆;周兰;Ananda Sunnassee;刘良;   

  1. 华中科技大学同济医学院法医学系;中国政法大学证据科学教育部重点实验室;
  • 发布日期:2009-02-25 出版日期:2009-02-28

Noncompaction of Ventricular Myocardium and Its Medicolegal Evaluation

YANG FAN1, ZHOU LAN1, ANANDA SUNNASSEE1, LIU LIANG1,2 (1. DEPARTMENT OF FORENSIC MEDICINE, TONGJI MEDICAL COLLEGE, HUAZHONG UNIVERSITY OF SCIENCE AND TECH- NOLOGY, WUHAN 430030, CHINA; 2. KEY LABORATORY OF EVIDENCE SCIENCE, CHINA UNIVERSITY OF POLITICAL S   

  • Online:2009-02-25 Published:2009-02-28

摘要: 心肌致密化不全(noncompaction of ventricular myocardium,NVM)是一种罕见的特殊类型的心肌病。近年来对于NVM的临床报道和研究越来越多,已成为临床心血管方面研究的热点问题之一。虽然NVM较为罕见,但因其猝死发生较多,加上目前我国大多数法医工作者对此认识不足,同时,现阶段还没有非常成熟的法医病理学检查方法,且其易与其他类型心脏疾病相混淆,因此对NVM的法医病理学鉴定需要充分的认识和格外谨慎。现重点对NVM的病理学特点、常用的临床诊断方法及与其他类型心脏疾病的鉴别诊断进行综述,并总结其法医学鉴定要点。

关键词: 法医病理学, 心肌疾病, 综述[文献类型], 心肌致密化不全

Abstract: Noncompaction of ventricular myocardium(NVM) is a rare cardiomyopathy. For the past few years, there have been more clinical reports and related scientific researches on NVM. It is one of the hottest topics in the field of clinical cardiovascular science. NVM is rare, but usually leads to fatal re- sults, such as sudden unexpected death. Most forensic medical examiners in China have not recognized the importance of this disease. There are no good forensic pathological methods yet to identify this dis- ease. Furthermore, NVM is easily to be confused with other types of heart diseases. As a result, we should be very careful about NVM, and understand the importance of making right diagnosis of NVM. This review focuses on NVM′s pathological features, clinical diagnostic methods, and differential diagnosis from other cardiac disease. The key points on how to make right forensic pathological diagnosis of NVM have also been summarized.

Key words: forensic pathology, cardiomyopathies, review[publication type], noncompaction of ventricular myocardium