婴幼儿预防接种后发生死亡案例的法医学分析  

Forensic Analysis on Cases of Infant Death after Vaccination

作　　者：朱海标 刘渊[1] 朱鹏[2] 杨宇[1] 陈夏梦[1] 官鹏[1] 

机构地区：[1]四川大学华西基础医学与法医学院法医病理学教研室,成都610041 [2]成都市人民检察院技术处

出　　处：《华西医学》2015年第10期1919-1923,共5页West China Medical Journal

摘　　要：目的分析婴幼儿接种疫苗后发生死亡的临床及病理学特点,探讨接种疫苗后发生婴幼儿死亡的常见原因及处理措施。方法收集2009年1月-2014年9月四川华西法医学鉴定中心涉及婴幼儿接种疫苗后发生死亡的案例13例,进行回顾性分析。结果 13例接种疫苗后婴儿死亡案例中,12例为呼吸系统及心血管系统为主的致死性疾病所致死亡,1例为呼吸道乳汁吸入所致机械性窒息死亡,所有案例死亡原因与预防接种均无直接相关性,均为偶合症。结论系统全面的法医病理学尸体检验,有助于明确预防接种后发生死亡事件的死亡原因,确定死亡与预防接种的关系,从而有助于此类事件妥善处理。Objective To explore the common causes and the clinical pathological characteristics of infant death which occurred after vaccination. Methods The study retrospectively analyzed the data of 13 cases of infant death occurring after vaccination from January 2009 to September 2014 in West China Medico-legal Expertise Center. Results Among the 13 cases of infant death, 12 were dead from lethal respiratory system and cardiovascular system diseases, 1 from mechanic asphyxia caused by milk intake. All cases were coupling disease death and had no direct correlation with vaccination. Conclusion Systematic and comprehensive forensic pathological examination is helpful to clarify the cause of death, reveal the relationship between vaccination and the cause of death, and contribute to proper processing of such incidents.

关 键 词：婴幼儿 疑似预防接种异常反应 法医学尸检 死亡原因 偶合症 

分 类 号：D919[医药卫生—法医学]