猝死病例127例的病理解剖学分析

Pathological analysis of 127 cases of sudden unexpected natural death

目的探讨猝死发生的一般特点及规律。方法收集1990-2008年猝死案例127例,并对其性别、年龄、诱因及猝死原因等进行统计分析。结果①127例猝死案例中男性与女性的比例是2.85∶1。②从1-81岁的各年龄段均可发生猝死事件,31-40岁为猝死的高发年龄段。③猝死诱因以紧张、情绪激动、争吵,轻微伤,治疗过程中的注射、手术及服用药物等因素多见。④心血管系统疾病(52.76%)、呼吸系统疾病(15.75%)及中枢神经系统疾病(11.81%)分别是猝死死因的前三位。结论通过对现有案例中猝死事件的回顾性分析,收集资料,从而可以进行有效的预防、治疗及准确的法医学鉴定。

Objective To explore the character and regulation of sudden unexpected natural death. Methods The data of age, sex, cause of death and inducing causes in 127 cases of sudden unexpected natural death in 1990 -2008 were collected and analyzed retro- spectively. Results ①Ratio of men to women in 127 cases was 2.85： 1. ②The age of 127 cases ranged from 1 to 81 years. The rate of sudden unexpected natural death was the highest in cases aged 31 -40 years. ③The inducing causes such as tension,excitement,altercation, injury, injection during the operation, surgical operation and drugs were prominent. ④The first death cause was the cardiac and vascular system diseases （52.76%）, and the followings were respiratory system diseases （15.75 % ）and central nervous system diseases （11.81% ）. Conclusion It is necessary and important to analyze retrospectively the files and summarize the data for improving the diagnosis in forensic medicine and treatment.