法医学杂志

法医学杂志 ›› 2013, Vol. 29 ›› Issue (4): 273-275.DOI: 10.3969/j.issn.1004-5619.2013.04.009

• 案例分析 • 上一篇    下一篇

主动脉夹层破裂致死63例法医病理学分析

黄  雷1，刘双高2，黄  翠3，余丹媛4，郑  莉1，成建定1，唐双柏1   

  1. （1. 中山大学中山医学院法医病理学教研室，广东 广州 510080； 2. 广州军区广州总医院附属第157医院临床部，广东 广州 510510； 3. 黄山市中医院针灸科，安徽 黄山 245000； 4. 清远市公安司法鉴定中心，广东 清远 511500）
  • 发布日期:2013-08-25 出版日期:2013-08-28
  • 通讯作者: 唐双柏，男，博士，副主任法医师，主要从事法医病理学及法医临床学研究；E-mail：tangshb@mail.sysu.edu.cn
  • 作者简介:黄雷（1988—），男，安徽黄山人，硕士研究生，主要从事猝死的分子病理学诊断研究；E-mail：lei.er1010@163.com

Sudden Death Caused by Aortic Dissection: 63 Cases of Forensic Pathological Analysis

HUANG LEI1, LIU SHUANG-GAO2, HUANG CUI3, YU DAN-YUAN4, ZHENG LI1, CHENG JIAN-DING1, TANG SHUANG-BO1   

  1. （1. Department of Forensic Pathology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China; 2. Clinical Department, 157th Hospital Affiliated to Guangzhou General Hospital of Guangzhou Military Command, Guangzhou 510510, China; 3. Department of Acupuncture, Traditional Chinese Medical Hospital of Huangshan, Huangshan 245000, China; 4. Forensic Science Centre, Public Security Department of Qingyuan, Qingyuan 511500, China）
  • Online:2013-08-25 Published:2013-08-28

被引次数

17

摘要： 目的 探讨主动脉夹层破裂的死亡原因、临床表现及法医病理学特点。 方法 对中山大学法医鉴定中心2001—2011年受理的63例主动脉夹层破裂致死的案例进行回顾性分析。 结果 主动脉夹层破裂好发于中青年男性（30～49岁）；病理分型以DeBakey Ⅱ型为主；常见死亡原因为心脏压塞；临床症状以中腹痛最为常见，但其疼痛部位和主动脉夹层部位吻合度不高，部分可无明显症状；破裂口多在升主动脉，多伴有动脉粥样硬化、高血压病理改变。 结论 熟悉主动脉夹层的临床表现及法医病理学特点，对此种疾病生前诊断及死因鉴定具有重要指导意义。

关键词: 法医病理学, 动脉瘤, 夹层, 主动脉破裂

Abstract: Objective To explore the cause of death, clinical manifestations and forensic pathological features of death cases caused by aortic dissection. Methods Sixty-three cases of aortic dissection were selected from forensic medical center, Sun Yat-sen University from 2001 to 2011 and retrospectively analyzed. Results The patients were mostly young and middle-aged male, aged from 30 to 49 years old. The DeBakey type Ⅱ was the most common pathological type and the main cause of death was pericardial tamponade. The most common symptom was abdominal pain. However, the location of aorta dissection did not always correlate with the location of pain. Some cases showed no obvious clinical symptoms. The rupture was usually located in ascending aorta with atherosclerosis and pathological changes of hypertension. Conclusion It is significant for diagnosis and evaluation the cause of death of aortic dissection by knowing the clinical symptoms and forensic pathological features.

Key words: forensic pathology, aneurysm, dissecting, aortic rupture

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