猝死37例死因分析

目的 分析不明原因死亡患者的疾病分布及尸检病理学特点。方法 收集不明原因死亡尸体107例，解剖结果显示37例为猝死，占35％，对其进行组织病理学检查。结果 37例猝死的疾病分布以心血管最常见，共16例，占43．2％，其次为呼吸系统、神经系统、消化系统疾病。结论 通过尸体解剖和病理学检查，为解决医疗纠纷和明确猝死死因提供科学的鉴定依据，对提高医疗质量起到积极的作用。

Etiologic analysis of sudden death:a report of 37 cases

Purpose To analyze the pathological characteristics and the disease spectrum of sudden death. Methods One hundred and seven autopsy cases of of patients with unknown causes were analyzed, in which thirty-seven (35%) cases were sudden death, and the histopathological examinations were performed. Results Among the thirty-seven cases, the morbidity of fatal diseases was as follows: diseases of cardiovascular system (43.2%) were in the first rank, the next were orderly diseases of respiratory system, central nerves system, digestive system diseases and others. Conclusions Careful and overall autopsy and pathological examination may offer scientific evidence for medical identification, and thereby clarify the causes of sudden death and settle the medical dispute. It may be also beneficial to the related organization to handle the medical issue properly and promptly, and play a positive role in improving the quality of medical service.