法医尸解中肺水肿的形态学研究  

Morphologic Study on Pulmonary Edema in Forensic Anatomy

作　　者：庄启元[1] 胡雅丽[1] 王顺和[2] 何绪文[2] 

机构地区：[1]苏州医学院法医教研室 [2]苏州市公安局法医室

出　　处：《法医学杂志》1989年第2期30-34,F003,共6页Journal of Forensic Medicine

摘　　要：在法医尸体检验实践过程中，许多死亡案例临终都具有程度不同的肺水肿病理改变。尤其常见于颅脑损伤致死、溺死、机械性窒息死、中毒死和急死等，尽管它们发生的机理不同，但最终在显微镜下表明都是肺泡腔内充满均匀粉红色浆液。Durlacher等认为肺淤血和水肿是尸体现象，We made a study of the lungs of pulmonary edema of 34 bodies died of brain injury, drowning, strangulation, sudden death and intoxication. The lungs of each type of death had distinguishing feature. In brain injury cases, the fact that the congestion,hemorrhage, alveolar and interstitial edema existed simultaneously was the marked feature, and the edema fluid appeared to be homogeneus pink staining coagulum. It has been termed as'neurogenic pulmonary edema' (NPE).IN drowning cases, alveolar edema was very outstanding, but the edema fluid appeared mostly stringy. It has been described as'emphyseme hydroaerique'.IN strangulation cases, perivascular edema was prominent.the fragments of fatty and bonemarrow tissues were found in pulmonary arterioles. The pulmonary vascular system thus was proved itself to be a 'target organ of strangulation agony' .IN cardiac failure cases, the edema fluid showed granular appearance. In intoxication cases, alveolar edema and Congestion were obvious, but some inflamatory cells were found in pulmonary vascular system and alveoli.

关 键 词：肺水肿 形态学研究 法医 尸解 机械性窒息 尸体检验 病理改变 死亡案例 颅脑损伤 显微镜下 粉红色 肺淤血 

分 类 号：R541.63[医药卫生—心血管疾病] R392.12[医药卫生—内科学]