间质性肺炎猝死的法医病理学研究

A Forensic Pathology Study on the Sudden Death Due to Interstitial Pneumonia

目的:探索间质性肺炎引起猝死的死亡机制。方法:对20例间质性肺炎引起猝死的案例,根据死者年龄分为成人组及婴幼儿组2组,分别进行组织病理学观察,并结合案情进行分析。结果:10例成年人死者多为与人纠纷、斗殴或运动时死亡。10例婴幼儿死者均以普通感冒入院治疗,随后迅速出现呼吸衰竭并死亡。结论:在成年人,间质性肺炎是死亡的病理基础,打架斗殴、运动等为死亡的诱因。在婴幼儿,间质性肺炎是猝死的直接死因。

Objective： To investigate the mechanism of sudden death due to the interstitial pneumonia. Methods： 20 sudden death cases due to the interstitial pneumonia were divided into two groups： the adult one and the infant one. We observed the pathological sections and investigated the details of all the eases. Results： 10 adult cases mainly died just when they were disputing, beating with someone else or when they were exercising. While all the 10 infant cases were hospitalized due to common cold then following rapid respiratory failure and died. Conclusions： The interstitial pneumonia is the patho-foundation of death in adult and fighting, exercising etc. are the motivation of death. On the orher hand. the direct cause of sudden death in infant is the interstitial pneumonia.