非法行医导致人过敏性休克死亡的法医学相关分析

Forensic Analysis of the Death of People With Anaphylactic Shock Caused by Illegal Practice

目的分析非法行医致过敏性休克死亡案例中的法医学内容。方法选取非法行医致人过敏性休克死亡的尸检档案资料36份,鉴定医疗行为与死亡存在的因果关系。结果 36例过敏性休克死亡案例中β内酰胺类、镇静催眠药休克时间多在10 min内,胆碱受体阻断药在10~60 min内,中药片剂与汤剂超过60 min;以静脉用药方式为主,均存在缺氧指征且内脏器官出现嗜酸性粒细胞浸润现象;31例IgE水平偏高。结论法医学检查可有效诊断非法行医致过敏性休克死亡。

Objective To analyze the contents of forensic medicine in cases of anaphylactic shock death caused by illegal medical practice. Methods A total of 36 autopsy data were collected from the patients who had died of anaphylactic shock, and the causal relationship between medical behavior and death was identified. Results In 36 cases of anaphylactic shock death, anaphylactic shock in the case of beta lactams, sedative hypnotic shock time within 10 min, muscarinic receptor blocking drugs was in 10 to 60 min,tablets and decoction of traditional Chinese medicine more than 60 min. Venous medication mainly, there are hypoxia indications and internal organs of eosinophil infiltration phenomenon; 31 cases of high levels of IgE. Conclusion Forensic examination can effectively diagnose the death of anaphylactic shock caused by illegal practice.