新疆地区66例多类型栓塞死亡法医学尸检分析  

Forensic autopsy analysis of 66 cases of multiple fatal embolism

作　　者：塔拉甫·托坎 李金秋 张朝正 阿仙姑·哈斯木 Talafu·TuoKan;Li Jinqiu;Zhang Chaozheng;Axiangu·Hasmu(Department of Pathology,Basic Medicine College,Xinjiang Medical University,Xinjiang Xinyi Forensic Science Institute,Urumqi Xinjiang,830054)

机构地区：[1]新疆医科大学基础医学院病理学教研室新医司法鉴定所,新疆乌鲁木齐830054

出　　处：《中国法医学杂志》2022年第1期91-93,共3页Chinese Journal of Forensic Medicine

基　　金：新疆维吾尔自治区高校科研计划项目(2021D14002)。

摘　　要：总结分析不同类型的栓子(血栓、脂肪、空气、羊水)栓塞致死的一般特点,探讨其法医病理学鉴定要点及注意事项。对2015~2021年在新疆医科大学司法鉴定所鉴定的66例栓塞致死案例进行回顾分析。经过研究分析,导致患者出现栓塞的因素较多,栓塞致死以肺动脉血栓栓塞多见,另外空气栓塞、羊水栓塞和脂肪栓塞也不容忽视,其均能导致呼吸、循环及神经功能障碍而猝死。根据栓塞致死案例具体分析各类栓子来源、临床表现、法医病理特点和死亡机制,对各类由于栓塞致死的案件鉴定总结出一些经验和工作思路。To summarize and analyze the general characteristics of different types of embolisms(thrombus,fat,air,amniotic fluid)and discuss the main points and precautions of forensic pathology identification.A retrospective analysis was conducted based on 66 cases of embolism death identified in Xinjiang Medical University during 2015 and 2021.The analysis iindicated that there are many factors leading to embolism of patients,and the death caused by embolism is more common in pulmonary artery thromboembolism.In addition,air embolism,amniotic fluid embolism and fat embolism cannot be ignored,all of which can lead to respiratory,circulation and neurological dysfunction and sudden death.The sources,clinical manifestations,forensic pathological characteristics and death mechanism of various embolisms were analyzed in combination with embolization death cases,and some experiences and working ideas of forensic pathological identification in various embolization cases were summarized.

关 键 词：法医病理学 血栓栓塞 脂肪栓塞 羊水栓塞 空气栓塞 

分 类 号：DF795.2[医药卫生—法医学]