冠状动脉粥样硬化性心脏病猝死的法医病理学研究

Forensic Pathology of Coronary Atherosclerotic Heart Disease

目的对冠状动脉粥样硬化性心脏病猝死的法医病理学进行研究分析。方法选取我院2010年10月~2014年10月期间冠状动脉粥样硬化性心脏病猝死尸检案例64例,将其设为观察组,并且选取同期55例为对照组。对这64例案例的相关指标进行检测分析,主要有年龄、肥胖程度,在此基础上还有性别及发病原因等等各方面,对其研究分析的数据运用测量统计的方法进行整理,在此基础上还运用常规组织化学等方法进行数据研究分析。结果对这64例冠状动脉粥样硬化性心脏病猝死尸检案例进行检测,64例案例当中,有女性14人,男性50人,其检测性别比例为1：3.6;并且根据研究数据显示观察组的心脏重量为（384.31±81.7）g、左心室壁厚度为（1.21±0.27）cm、右心室壁厚度为（0.291±0.12）cm;对照组的心脏重量为（307.271±69.82）g、左心室壁厚度为（1.121±0.21）cm、右心室壁厚度为（0.231±0.08）cm,两组数据比较差异显著,具有统计学意义（P〈0.05）。结论冠状动脉粥样硬化性心脏病猝死患者男性多于女性,并且冠状动脉粥样硬化性心脏病猝死患者通常心脏肥大,并且其动脉壁不均匀增厚,研究其法医病理对冠状动脉粥样硬化性心脏病的预防具有较大现实意义。

Objective To study the forensic pathology of coronary atherosclerotic heart disease. Methods 64 cases of coronary atherosclerotic heart disease sudden death in our hospital from October 2010 to October were selected as the observation group, and 55 cases were selected as the control group. Data analysis of 64 cases in this case related indexes were detected and analyzed, the main age, obesity, based and gender and cause of disease, and so on. On the research and analysis of the data using statistical measurement method of finishing, on the basis of using conventional organization science methods. Significant differences between heart weight for detecting. Results The 64 patients with coronary atherosclerotic heart disease death autopsy cases were detected in 64 cases, female 14 people, male 50 people. The sex ratio was 1：3.6; and according to the research data showed that the observation group of heart weight（384.3±81.7） g, left ventricular wall thickness（1.21±0.27）cm, right ventricular wall thickness（0.29±0.12） cm, and the control group（307.27±69.82）g, left ventricular wall thickness（1.12±0.21） cm, right ventricular wall thickness（0.23±0.08）cm, two sets of data, with statistical significance（P〈0.05）. Conclusion Coronary atherosclerotic heart disease and sudden death in patients with more men than women, and coronary atherosclerotic heart disease sudden death patients usually cardiac hypertrophy, thickening of the arterial wall are not uniform and study the forensic pathology of coronary atherosclerotic heart disease prevention have great realistic significance.