脑血管畸形致猝死的法医病理分析  

THE ANALYSIS OF FORENSIC PATHOLOGY OF CEREBROVAS CULAR MALFORMATIONS CAUSING SUDDEN DEATH

作　　者：刘萨日娜[1] 苏丽娟[1] 贾富全[1] 武彦[1] 

机构地区：[1]内蒙古医学院法医学教研室,内蒙古呼和浩特010059

出　　处：《内蒙古医学院学报》2012年第5期403-407,共5页Acta Academiae Medicinae Neimongol

摘　　要：目的:探讨脑血管畸形致猝死的法医病理学特点。方法:对1998～2010年间内蒙古医学院法医学教研室39例脑血管畸形案例进行分析。结果:脑血管畸形猝死以青壮年男性为主,有34例(占91.9%),斗殴外伤为明显诱因,有24例(61.54%),破裂出血是主要死因。脑血管畸形的病理类型以脑动静脉畸形最为常见,有36例(92.3%),常发生于脑底部、蛛网膜下腔、侧脑室、小脑及脑干。出血类型以蛛网膜下腔出血最为常见,有16例(41%)。结论:脑血管畸形的鉴定比较困难,根据其法医病理学特点,结合其他检查方法(如头部MRI,脑血管造影),才能做出客观、全面、准确的鉴定结论。Objective：We aim to study the forensic pathological characteristics of sudden death caused by cerebral vascular malformation. Methods：We analyzed 39 cases of cerebral vascular malformation. The samples were collected from Inner Mongolia Medical College between 1998 and 2010. Results：34 cases were young men in our samples（91.89% ）. Thus young men were the major people died of the lesion. Fight and wound was the main remote cause of the lesion. 24 cases （61.54%） belonged to this situation. Vascular rupture and bleeding was the most death cause of subjected people. Arteriovenous malformation was the most common pathological type of cerebral vascular malformation. The malformation type occupied 92.30% （36cases）. Cerebral vascular malformation often occurred in brain bottom, subarachnoid, lateral ventricles, cerebellum and brain stem. The subarachnoid was the most bleeding position which was16cases（41.00% ）. Conclusion：The identification of cerebral vascular malformation was very difficult. It was probably to make the objective, comprehensive and accurate identification conclusions combining forensic pathological char- acteristics with other examinations （MRI, cerebral angiography and so on）.

关 键 词：脑动静脉畸形 法医病理学 猝死 

分 类 号：R795.1[医药卫生—临床医学]