新疆地区66例多类型栓塞死亡法医学尸检分析

Forensic autopsy analysis of 66 cases of multiple fatal embolism

总结分析不同类型的栓子(血栓、脂肪、空气、羊水)栓塞致死的一般特点,探讨其法医病理学鉴定要点及注意事项。对2015~2021年在新疆医科大学司法鉴定所鉴定的66例栓塞致死案例进行回顾分析。经过研究分析,导致患者出现栓塞的因素较多,栓塞致死以肺动脉血栓栓塞多见,另外空气栓塞、羊水栓塞和脂肪栓塞也不容忽视,其均能导致呼吸、循环及神经功能障碍而猝死。根据栓塞致死案例具体分析各类栓子来源、临床表现、法医病理特点和死亡机制,对各类由于栓塞致死的案件鉴定总结出一些经验和工作思路。

To summarize and analyze the general characteristics of different types of embolisms(thrombus,fat,air,amniotic fluid)and discuss the main points and precautions of forensic pathology identification.A retrospective analysis was conducted based on 66 cases of embolism death identified in Xinjiang Medical University during 2015 and 2021.The analysis iindicated that there are many factors leading to embolism of patients,and the death caused by embolism is more common in pulmonary artery thromboembolism.In addition,air embolism,amniotic fluid embolism and fat embolism cannot be ignored,all of which can lead to respiratory,circulation and neurological dysfunction and sudden death.The sources,clinical manifestations,forensic pathological characteristics and death mechanism of various embolisms were analyzed in combination with embolization death cases,and some experiences and working ideas of forensic pathological identification in various embolization cases were summarized.