法医学杂志 ›› 2017, Vol. 33 ›› Issue (5): 470-475.DOI: 10.3969/j.issn.1004-5619.2017.05.003

所属专题: 心脏性猝死

• 专题 • 上一篇    下一篇

云南不明原因猝死研究进展

何永旺,赵祥月,贾彭林,周一卿,李  桢,曾晓锋,李  立   

  1. 昆明医科大学法医学院,云南 昆明 650500
  • 发布日期:2017-10-25 出版日期:2017-10-28
  • 通讯作者: 李立,男,主要从事法医学研究;E-mail:269570929@ qq.com 曾晓锋,男,副教授,主要从事法医学研究;E-mail:441382858@qq.com
  • 作者简介:何永旺(1992—),男,硕士,主要从事云南省不明原因猝死研究;E-mail:1157316269@qq.com
  • 基金资助:

    国家自然科学基金资助项目(81560303,81660310);云南省科技厅—昆明医科大学应用基础研究联合专项资助项目(2016FB129);云南省重大传染病疫苗研发重点实验室开放研究资助项目(KF2015-01);昆明医科大学毒品滥用·法医病理学科技创新团队资助项目(CXTD201604);云南省教育厅资助项目(2016ZDX048)

Research Progress of Yunnan Unexplained Sudden Death

HE YONG-WANG, ZHAO XIANG-YUE, JIA PENG-LIN, ZHOU YI-QING, LI ZHEN, ZENG XIAO-FENG, LI LI   

  1. School of Forensic Medicine, Kunming Medical University, Kunming 650500, China
  • Online:2017-10-25 Published:2017-10-28

摘要: 云南不明原因猝死(Yunnan unexplained sudden death,YUSD)具有明显的空间和时间聚集性,而且发病突然,死亡迅速,至今仍然病因未明。但YUSD的发生与病区特定海拔范围内的地质和气候条件有关,同时YUSD病区群众存在易感基因位点或多个SNP位点突变、长期劳累、膳食营养水平低、微量元素缺乏、居住环境卫生差、生活卫生习惯不良、病原微生物及病毒感染等多方面因素的影响。病区人群在上述影响因素的持续作用下,最终形成以心肌损伤为突出表现的不明原因猝死。强化卫生管理,改善居住环境,提高村民体质,改变不良生活习惯,加强YUSD重点病区人群的心肌酶和心电图指标检测是预防YUSD的有效措施。及时开展死亡原因鉴定和深入遗传学研究是探索YUSD发病原因、提高诊疗效果及降低死亡率的重要途径。

关键词: 法医病理学, 猝死, 综述, 云南不明原因猝死

Abstract: Yunnan unexplained sudden death (YUSD) has obvious spatial and temporal aggregations. With the features of sudden onset and rapid death, its causes remain unclear. However, the onset of YUSD is related to the geological and climatic conditions in specific range of altitude of incidence area, which is also influenced by the existed susceptibility gene loci or several multiple mutations in SNP loci, long-term fatigue, low dietary nutrition, trace element deficiency, poor living condition and hygienic habit, and infection by etiologic microorganism or virus among the residents live in the incidence area of YUSD. Under the continuous influence of factors above, the crowd of incidence area finally occurred unexplained sudden death that prominently shown by myocardial injury. Improvements of public health administration, living conditions, villagers’ health, living habits and enhancement of indicator measurement of myocardial enzyme and electrocardiogram for the residents in the incidence area of YUSD are effective measures for prevention of YUSD. Timely identification of cause of death and in-depth genetic research are important ways to explore the causes of YUSD, enhance the effectiveness of treatment and reduce the death rate.

Key words: forensic pathology, death, sudden, review, Yunnan unexplained sudden death

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