法医学杂志

法医学杂志 ›› 2010, Vol. 0 ›› Issue (1): 33-36.

• 论文 • 上一篇    下一篇

肺动脉血栓栓塞猝死23例法医病理学分析

龚道银;王耀宾;张岑岑;黄飞骏;   

  1. 四川大学华西基础医学与法医学院;
  • 发布日期:2010-02-25 出版日期:2010-02-28

Forensic Pathological Analysis on 23 Cases of Fatal Pulmonary Thromboembolism

GONG DAO-YIN,WANG YAO-BIN,ZHANG CEN-CEN,HUANG FEI-JUN(WEST CHINA SCHOOL OF PRECLINICAL AND FORENSIC MEDICINE,SICHUAN UNIVERSITY,CHENGDU 610041,CHINA)   

  • Online:2010-02-25 Published:2010-02-28

被引次数

29

摘要： 目的分析肺动脉血栓栓塞(pulmonary thromboembolism,PTE)猝死的法医病理学特点,探讨血栓的演变过程及外伤等邻近事件与PTE猝死的因果关系判定方法。方法对四川华西法医学鉴定中心1998—2008年23例PTE猝死案件进行回顾分析。结果PTE猝死合并外伤、手术、制动等危险因素,其中外伤12例,手术21例;院内发生22例,以伤后住院时间1～2周及术后1周多见。PTE中17例为反复性栓子栓塞,余为一次性栓塞。栓子来源于下肢深静脉系统16例,左侧多见。结论明确栓子的来源、外伤及外科手术等邻近事件对于确定PTE猝死是至关重要的。

关键词: 法医病理学, 猝死, 肺栓塞, 外伤

Abstract: Objective To analyze the forensic pathological characteristics of sudden death caused by pulmonary thromboembolism and the chronological transformation of thrombus and explore the assessment method of the causal relationship between previous trauma and the following fatal PTE episode.Methods All the 23 cases reviewed here were collected from our institute files from the year of 1998 to 2008.Results Trauma,surgery and braking etc.were all risky factors of PTE.Of these cases,12 cases were caused by trauma,21 cases were caused by surgery and 22 cases died in hospitals which were often happened one or two weeks after injury or one week’s postoperative time.Of all the cases,6 cases had single attack of throm-bus and the rest 17 cases had the recurrence of thrombus.The number of the leg deep vein to be the embolic source was 16 cases which were often seen in the left leg.Conclusion It is important to confirm the embolic source,trauma,surgery and chronological events in determing the sudden death with PTE.

Key words: forensic pathology, death, sudden, pulmonary embolism, trauma