Pathological Study of 20 Cases of Silicotuberculosis.

This paper was a brief summary based on 20cases (17 necropsies and 3 biopsies) of silicotu-berculosis (ST) documented in our department.Pathologically they were classified into two types:A. separate or additional type--12 cases, whichwere characterized by the specific tuberculouslesions distinctly different from the classicalsilicotic changes in the lungs. B. combining     

Malignant Tumors in Patients Aged 60 and Over: An Analysis of 208 Autopsy Cases.

From the autopsy of 617 cases aged 60 and over.208 cases with malignant tumor were found.The detection rate     

Analysis of 158 Cases of Suicides.

The domestic data showed that, among the causes of abnormal deaths, suicide ranked at the top of the causal factors in recent years. This hospital had rescued 158 cases of suicides from 1983 to 1992. Among them, females were much     

Analysis of Nine Cases of Acute Thallium Poisoning

In this study nine cases of thallium poisoning in a series of homicidal poisoning were analyzed in order to provide more information concerning thallium poisoning. It was found that the most common clinical feature of thallium poisoning was peripheral neuropathy and paraesthesia was more common than amyasthenia. Understanding of these clinical characteristics of thallium poisoning was helpful to early identification and differential diagnosis. Since the early administration of Prus- sian Blue, as a specific antidote for thallium poisoning, can substantially improve the prognosis, it is of great importance to establish a correct and early diagnosis.     

Traumatic Subdural Hygroma: Analysis of 62 Cases

Sixty-two cases of traumatic subdural hygromaare reported. All of them were confirmed surgical-ly. The incidence was 1. 16% out of a series headinjury cases during the same period. The opera-tive mortality rate was 9. 7%. Of 62 cases, 56 weresituated supratentorially and only 6 infratentorially.Most of them were caused by deceleration injury.     

Sex Chromosomal Analysis of Fifty Cases with Azoospermia

ＳｅｘＣｈｒｏｍｏｓｏｍａｌＡｎａｌｙｓｉｓｏｆＦｉｆｔｙＣａｓｅｓｗｉｔｈＡｚｏｏｓｐｅｒｍｉａ￥ＸｕＣｈａｎｇｆｅｎ，ｅｔａｌ．ＡＣＴＡＡＣＡＤＥＭＩＡＥＭＥＤＩＣＩＮＡＥＮＡＮＪＩＮＧ，１９９４，１４（１）：２２－２５Ａｂｓｔｒａｃｔ：Ｍａｌｅ...     

Analysis of SRY Gene in 8 Cases of Sex Abnormality

In order to investigate the relationship between sex dysplasia and sex-determining region Y (SRY) gene, 8 patients with sexual abnormality were analyzed by cytogenetic and molecular genetic methods. Fluorescence in situ hybridization (FISH) using PY3.4, X alpha satellite, and SRY probes was performed in each case to analyze the sex chromosome translocation and gene translocation. SRY gene was amplified by polymerase chain reaction (PCR) and its mutation was detected by direct sequencing. The results showed that among 8 patients, 5 were positive for SRY and the remaining negative for SRY. In the patients positive for SRY genes, 3 presented testes and the left 2 streak ovaries. In the patients negative for SRY, only one case presented testes, while 2 ovaries. Direct sequencing demonstrated that all SRY genes were normal in the patients positive for SRY genes. FISH technique demonstrated that SRY genes translocated from Ypter to Xpter in 2 46,XX phenotypic males positive for SRY genes. It was concluded that SRY gene is strongly in volved inmale sex determination, while a sequence of other genes may be taken into account in sexual development.     

Analysis on Pathogenesis of 50 Cases of Bladder Proliferative Lesions

VonBrunn’snests ,cystitiscystica ,cystitisglandularis ,andsquamousepitheliummetaplasiaaredifferentkindsofpathologicalmucousepithelialpro liferationoftheurinarybladder ,whichcanalsotakeplaceinanyplaceoftheurinarytract[1] Therewerealwaysmuchcontroversyontheprevalenceandclini calimplicationsofthem Manyresearchersbelievedthattheselesionsarenormalhistologicalvariantswhichwereconcernedwithchronicinflammationandverycommoninpeopleabove 2 0 years[2 ] Mostau thors ,however ,regardedallofthem ,oratle…     

Clinical Analysis of 5 Cases of Laparoscopy in Pregnant Patients

FivepregnantpatientsweregivenlaparoscopicsurgeryinPUMCHinrecenttwoyears.Allthepa-tientshavetheindicationsforoperation.Theageofthepatientswas25to33yearsold.Theoperationwasdoneinthefirstandsecondtrimester.Thedura-tionoftheoperationwasabout30minswithnoma-nipulationofthecervix.Threepatientsweregivencystectomyand1wasgivensalpingectomyandlastonewasgivenexcisionanddrainageofabscess.Thepathologicdiagnosiswerecysticteratomafor2cases,corpuslutealcystfor2casesandappendicitisfor1case.Nocomplicationoft…     

Application of CD45/SSC Gating Multiparameter Flow Cytometry in the Classification of Acute Leukemia——An Analysis of 139 Cases

Acute leukemia is a disease of high heterogene-ity.The accurate classification of each individual pa-tient is very important to therapy and prognosis[1,2 ] .To study the significance of CD45 / side scatter( CD45 / SSC) gating multiparameter flow cytometry( FCM) in the classification of acute leukemia,weused this method for analyzing the immunopheno-types of 1 39cases of acute leukemia.1　MATERIALSAND METHODS1 .1　 PatientsAll the patients were admitted into our hospitalfrom April 1…     

医疗纠纷案例的法医病理学研究

目的探讨与死亡有关的医疗纠纷发生的原因及特点,为医疗纠纷的调解处理及防范提供科学依据。方法选择华中科技大学同济医学院法医病理学教研室1999年1月至2008年12月受理的586例涉及死亡的医疗纠纷尸检案例,对其临床资料进行回顾性分析。结果涉及死亡的医疗纠纷案例中89.76%是非医疗事故;引起猝死或病死的疾病中以心血管系统疾病最多(196例,37.26%);最易发生医疗纠纷案例的科室是妇产科(121例,31.35%)。结论绝大部分医疗纠纷尸体检验案例是非医疗事故。尸体解剖是查明死因、划分责任、调解、处理和审判医疗纠纷的前提和重要依据。     

医疗纠纷尸检86例法医学分析

目的：以法医学观点分析讨论医疗纠纷尸检的意义和重要性。方法：从本系1993年－2001年9月尸检资料中选出涉及医疗纠纷的86例资料，经驻表格逐一登记，分类整理，最后进行分析。结果：医疗纠纷的发生率逐年增多，且多集中于儿科（20例，23.2%)、产科（19例，22.1%)、内科（16例，18.6%)、诊所（10例，11.6%)、外科（9例，10.5%)等。医疗纠纷多与院内猝死、难以避免的并发症死亡、临床诊断不清、误诊、误治及医务人员态度不好等有关。结论：医疗纠纷的发生与许多因素有关，法医受理医疗纠纷尸检在程序上有利于取得社会公信，并有利于纠纷的最终解决。     

医疗纠纷因果关系鉴定92例分析

目的探讨医疗纠纷因果关系鉴定案例的特点及医疗过失参与度的评定原则。方法从患者一般情况、涉及医院及科室、医疗过失情况及参与度等方面对2003~2008年受理的92例医疗纠纷因果关系鉴定案例进行统计分析。结果患者年龄以30~39岁(29.3%)和0~9岁(25%)最为多见,其次为50~59岁(15.2%);主要涉及科室依次为产科(23.9%)、外科(20.7%)、儿科(15.2%)、内科(14.1%);医疗行为无明显不当者11例(12%),有不当或过失者81例(88%)。结论该结果对医疗纠纷的防范及法医学司法鉴定有重要作用。     

无锡地区医疗纠纷尸检中的现状与思考

尸体解剖对明确诊断，化解医疗纠纷，提高医疗诊治水平都有积极作用，应大力提倡和开展，但在尸检鉴定中必须科学准确，实行规范化、程序化，加强质量控制。文章对无锡地区６３例医疗纠纷尸检的鉴定资料进行分析，并对尸检过程中遇到的问题提出对策与建议。     

胆囊手术相关医疗纠纷的法医学分析

目的:分析胆囊手术相关医疗纠纷案件的法医学特点,探讨其临床预防和鉴定要点。方法:对四川大学华西法医学鉴定中心1998年至2014年36例因胆囊手术诱发的医疗纠纷进行回顾性分析。结果:男性16例,女性20例;以41~60岁年龄组多见(63.89%);二级医院发生的医疗纠纷最多(58.33%);术前诊断以急慢性结石性胆囊炎为主(58.33%);术式以开腹手术为主(72.22%);主要死因为手术并发症(62.5%),其次心血管疾病(18.75%);术后3 d内死亡最易诱发医疗纠纷(62.5%)。结论:重视轻症胆囊炎患者的诊治、强化知情告知义务、加强手术并发症的防治有利于防范医疗纠纷;及时尸体解剖明确死因对解决医疗纠纷非常重要。     

86例医疗事故争议的法医病理尸检分析

目的：探讨医疗事故争议的法医病理学鉴定特点。方法：对我室1999年1月-2004年6月尸检档案中涉及医疗事故争议案例86例进行分类统计，并对法医病理学鉴定结果进行比较。结果：(1)争议尸检案例从1999年1月-2001年12月的26例(8．5％)上升到2002年1月～2004年6月的60例(27．3％)；(2)男女性别差异无显著性；年龄分布在10岁以下的21例中，6例为出生1月以内的新生儿，11例为1—5岁的幼儿，高峰分别出现在20-29岁和小于10岁，均为21例(24．4％)，其次为30-39岁17例(19．8％)；(3)争议多发生在县(区)级以下的医院(包括个体诊所)，共67例(77．9％)，最常涉及外科、产科和急诊、门诊；(4)死亡原因最常见心血管系统疾病21例(24．4％)，呼吸系统疾病19例(22．1％)，产科疾病15例(17．3％)，机械性损伤11例(12．8％)；(5)临床诊断与法医病理诊断不相符23例(26．7％)，无临床诊断30例(34．9％)，主要集中在个体诊所和乡镇卫生院。结论：法医病理学鉴定对处理医疗事故争议诉讼案件起积极作用。     

涉及医疗纠纷的围产儿死亡243例临床病理分析

回顾性分析涉及医疗纠纷的243例围产儿尸检资料．整理尸体解剖记录、尸检结果和相关病历资料．总结其常见死亡原因及医疗纠纷的发生原因。结果发现在同期所有医疗纠纷尸检中围产儿尸检占40．9％．常见死亡原因依次为窒息性疾病、感染、出血性疾病、畸形及产科因素．纠纷发生的原因以临床不能确诊死亡原因或家属无法接受临床死因诊断最常见。男外，涉及医疗纠纷的围产儿尸检中仅有少数为医疗事故．随着医疗质量的提高及医学和法律知识的普及．尸检量正在逐渐减少。     

论医学检验实习生与医疗纠纷可能性的关系

医学检验专业学生毕业实习是将理论知识转化为专业技能的重要途径。由于实习学生的特殊身份，在医疗工作过程中存在着发生医疗纠纷的一些可能因素。切实了解实习生与发生医疗纠纷的各种可能性的关系并采取相应措施减少或避免这些可能性的发生，是教学医院检验科顺利完成教学任务和医疗任务的重要内容。     

心性猝死—4例主动脉瘤破裂的法医病理学鉴定

目的:探讨主动脉瘤破裂猝死的发病特点和病理学基础,为临床医师提供帮助。方法:对本系2002年12月至2006年l2月期间,所作450例法医病理检案的4例主动脉瘤破裂猝死案例进行分析研究。结果:4例主动脉瘤破裂致死占尸体解剖总数的0.89%,占SCD的4.1%,其中,DAA3例;2例DAA与AS有关。结论:主动脉瘤破裂病程短骤、凶险,是心性猝死的病因之一,早期症状与冠心病酷似,且病死率极高,因此应引起临床医师的高度重视,提高诊治水平。     

119例猝死尸体的法医病理学检验分析

目的分析猝死的死亡原因、年龄、性别差异和诱因等特点。方法对郑州大学法医学教研室2004年1月至2008年10月间法医病理检案中的119例猝死尸体进行分析研究。结果(1)猝死者男性明显多于女性,年龄高峰为20~59岁;(2)导致猝死的疾病由高到低依次分布在心血管系统、呼吸系统、中枢神经系统、消化系统、泌尿生殖系统;(3)猝死诱因以死前有纠纷、轻微外伤和夜间睡眠中死亡为多。结论猝死事件的法医学鉴定要根据其发生特征和变化规律,作出客观、全面、准确的鉴定结论。