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目的:观察并探讨肺动脉血栓栓塞猝死患者的法医病理特点。方法:回顾性分析86例肺动脉血栓栓塞猝死患者的临床资料,总结其法医病理特点。结果:肺动脉血栓栓塞猝死患者往往存在制动、手术、外伤等风险性因素,本组中共计26例合并外伤,共计60例手术患者;共计56例为院内发生,多发时间段为伤后住院2周之后和手术治疗后1周;本组肺动脉血栓栓塞患者中,反复性栓子栓塞患者共计65例,其余21例均属于一次性栓塞;共计55例患者的栓子来源于其下肢深静脉系统,最常见的为左侧部位。结论:在分析肺动脉血栓栓塞猝死患者的基本情况时,重点要明确栓子的来源,同时要分析外伤、手术等影响因素。
Objective: To observe and discuss the forensic pathological features of patients with sudden death from pulmonary thromboembolism. Methods: The clinical data of 86 patients with sudden death from pulmonary thromboembolism were retrospectively analyzed, and their forensic pathological features were summarized. Results: Sudden death in patients with pulmonary thromboembolism often have brake, surgery, trauma and other risk factors in this group, a total of 26 cases with trauma, a total of 60 cases of surgical patients; a total of 56 cases were hospitalized, multiple time periods for hospitalized 2 Week and 1 week after surgery; in this group of patients with pulmonary thromboembolism, a total of 65 patients with recurrent embolism embolization, and the remaining 21 cases are a one-time embolization; a total of 55 patients with emboli derived from the lower limb deep vein system , The most common for the left site. Conclusion: In analyzing the basic situation of sudden death in patients with pulmonary thromboembolism, the focus should be clear on the source of emboli, while trauma, surgery and other factors to be analyzed.