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。

Forensic pathological identification of 4 death cases from rupture of aortic aneurysm

Objective:To study the clinical features and pathological findings of rupture of aortic aneurysm for clinicians′reference.Methods: From December 2002 to December 2006,there were 450 death cases underwent pathological identification in our department,from which 4 cases died of the rupture of aortic aneurysm were chosen for this study.Results:In 450 death cases undergone autopsy examination,4 cases died of the rupture of aortic aneurysm,which accounted for 0.89%.4.1% in the cases died of sudden cardiac death(SCD) and 3 of them,dissecting aortic aneurysm(DAA).2 death cases from DAA were related to atherosclerosis (AS).Conclusion:Rupture of aortic aneurysm is one of the causes of sudden cardiac death.In clinical practice,health providers must be sensitive to the symptoms,for early symptoms of the disease demonstrate similarly to that of coronary heart disease with a short course of onset.