心源性猝死33例尸检临床病理分析  

Sudden cardiac death:a clinicopathologic analysis of 33 autopsy cases

作　　者：戴瑜珍 喻朝霞[1] 胡小安[1] 张润[1] 卢静[1] 潘陶强 

机构地区：[1]安徽省安庆市第一人民医院病理科,安庆246000

出　　处：《临床与实验病理学杂志》2009年第2期174-177,共4页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的分析心源性猝死的临床特点以及尸检病理学特征。方法收集与医疗纠纷有关的不明原因死亡的87例尸体解剖资料进行病理组织学检查。结果心源性猝死33例,其中,冠心病20例(占64%),主动脉夹层动脉瘤破裂4例,心肌炎5例,肥厚性心肌病2例,冠状动脉炎和肺动脉脂肪栓塞各1例。结论正确、系统地进行尸体解剖,可以明确猝死原因,提高医疗质量,并为医疗纠纷鉴定提供可靠的鉴定依据。Purpose To analyze the clinical features and the pathological characteristics of sudden cardiac death （SCD）. Methods Eighty-seven patients with unknown death causes were autopsied and the histopathological examinations were performed. Results Thirty-three died of SCD. Among them coronary heart disease was found in 20 （64%）, and ruptured aortic interlamellar aneurysm in 4 cases, myocarditis in 5 cases, hypertrophic cardiomyopathy in 2 cases, coronary arteritis and pulmonary artery fatty embolism was found in 1 case. Conclusions Correct systematic autopsy is important to determine the causes of death, to promote development of related subjects and to improve the diagnosis and treatment of the diseases. It may offer scientific evidence for medical identification and settle medical disputes.

关 键 词：心源性猝死 尸体解剖 病理解剖学 

分 类 号：R541[医药卫生—心血管疾病] R322-34[医药卫生—内科学]