心脏震荡研究现状及法医学鉴定

Current research and forensic identification of commotio cordis

心脏震荡系指既往无心脏疾患的健康人心前区遭受钝性打击后突然发生的心跳骤停,尸体解剖检验时,其心脏和其他内部器官往往没有肉眼可见的结构损伤。心脏震荡发生率低,尸检报道较少,法医学鉴定有一定难度,易被误诊、漏诊。本文就心脏震荡流行病学、发病机制及法医学鉴定等方面的现状进行综述。

Commotio cordis（ CC） is a mechanical stimulation of the heart by blunt force trauma to the precordium which leads to the sudden cardiac arrest. No visible damage were found in heart and other organs. Commotio cordis is a rare event. There are relatively few autopsy reports of CC. The accurate diagnosis of CC is still difficult in forensic practices,because of the absence of a reliable objective finding.In the article,epidemiology,mechanisms and forensic identification were reviewed.