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法医学杂志 2018, Vol. 34 Issue (5) :538-541    DOI: 10.12116/j.issn.1004-5619.2018.05.020
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心脏震荡的法医病理学鉴定及鉴别
田美慧1,高卫民2,贾宇晴1,薛嘉嘉1,肖  莹1,曹志鹏1,朱宝利1
1. 中国医科大学法医学院法医病理学教研室,辽宁 沈阳 110122; 2. 太仓市公安局,江苏 太仓 215400
Forensic Pathological Identification and Antidiastole of Commotio Cordis
TIAN Mei-hui1, GAO Wei-min2, JIA Yu-qing1, XUE Jia-jia1, XIAO Ying1, CAO Zhi-peng1, ZHU Bao-li1
1. Department of Forensic Pathology, School of Forensic Medicine, China Medical University, Shenyang 110122, Liaoning Province, China; 2. Taicang Public Security Bureau, Taicang 215400, Jiangsu Province, China

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摘要 心脏震荡是指既往无心脏疾病的健康人心前区突然遭受钝性外力后,突发的心律失常所致的急性死亡。作为心脏暴力性损伤的种类之一,心脏震荡因其较为罕见,且所受外力较轻微、死亡急骤,常常引发纠纷。本文就心脏震荡的流行病学、发病机制及法医学鉴定要点进行综述,主要探讨心脏震荡与心肌挫伤、心脏性猝死及抑制死的法医病理学鉴定及鉴别要点,以期为广大法医病理学工作者对于此类死亡原因的鉴别提供帮助。
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田美慧
高卫民
贾宇晴
关键词法医病理学;猝死   心脏;心肌挫伤;抑制死;综述     
Abstract: Commotio cordis (CC) is the acute death caused by the cardiac rhythm disorder after a sudden blunt external force to the precordium of a healthy person without previous heart disease. As one type of violent heart damage, CC is rare with relatively small external force and sudden death, therefore causing disputes. This paper reviews the epidemiology, mechanisms and the key points in forensic identification of CC, discusses the identification and antidiastole of CC, myocardial contusion, sudden cardiac death and death from inhibition, and provides assistance to forensic pathologists to identify such causes of death.
Keywordsforensic pathology   death, sudden, cardiac   myocardial contusion   death from inhibition   review     
Fund:国家自然科学基金资助项目(81273343)
Corresponding Authors: 朱宝利,男,教授,博士研究生导师,主要从事法医病理学、法医病理生理学教学、研究及鉴定;E-mail:zhu1127@hotmail.com   
About author: 田美慧(1990—),女,博士研究生,主要从事法医病理学、法医物证学研究;E-mail:tianmeihui@126.com
引用本文:   
田美慧,高卫民,贾宇晴,等.心脏震荡的法医病理学鉴定及鉴别[J]  法医学杂志, 2018,34(5): 538-541
TIAN Mei-hui, GAO Wei-min, JIA Yu-qing,et al..Forensic Pathological Identification and Antidiastole of Commotio Cordis[J]  法医学杂志, 2018,34(5): 538-541
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