86例猝死尸检的临床病理学研究

Clinicopathological analysis of autopsy of 86 cases with sudden death

目的分析猝死的临床病理学特征,为猝死的诊断和预防提供依据。方法收集86例猝死案例的尸体解剖资料,分析猝死的临床病理学特征和发生的性别、年龄、季节、诱因、主要病症等相互之间的关系。结果86例猝死经尸检病理诊断为心源性猝死的有58例(58/86,67.4%),其中冠状动脉粥样硬化性心脏病占心源性猝死的51.7%(30/58),心律失常性右心室心肌病占心源性猝死的10.3%(6/58)。结论猝死中心源性猝死最常见。科学系统的尸检可以明确猝死的原因,可为医学鉴定和解决医疗纠纷提供可靠的依据,并对提高医疗质量,做到早期诊断和治疗心血管系统疾病,减少猝死的发生起着重要的作用。

Objective To analyze the clinicopathological characteristics of autopsy of 86 cases with sudden death（SD）.Methods The information from 86 autopsy cases with SD was collected.The association of pathological features with the clinical characteristics such as sex,age,season,motivation and main disease was analyzed.Results of 86 cases SD,58 cases（67.4%） died of heart attack diagnosed by pathological examination.Among the heart attack cases,the cases with coronary atherosclerotic heart disease accounted for 51.7%（30/58）,and the cases with arrhythmogenic right ventricular cardiomyopathy accounted for 10.3（6/58）. Conclusion Heart attack is the commonest cause of SD.