3例扩张性心肌病死亡分析

Death Analysis of 3 Cases of Dilated Cardiomyopathy

总结扩张性心肌病心衰后死亡案的鉴定要点,以供死者自身存在扩张性心肌病的案件鉴定提供参考。因扩张性心肌病心衰后死亡时的案例,从被鉴定人年龄、性别、外伤类型及程度、临床病历、组织病理学表现、办案单位是否采信鉴定意见等角度进行统计分析,得出结论为3例扩张性心肌病死亡均是因心力衰竭而死亡,与所受的外伤并无直接因果关系;评估死者本身扩张性心肌病的严重程度对案件的处理较为重要。

This paper summarizes the identification points of death after heart failure of DCM,and provides ref⁃erence for the identification of DCM.Cases of death after heart failure due to dilated cardiomyopathy are statistically analyzed from the perspectives of age,gender,type and degree of trauma,clinical records,histopathological manifes⁃tations,and whether the case handling unit accepts expert opinions or not.It is concluded that 3 cases of DCM died of heart failure,which had no direct causal relationship with the trauma,and severity assessment of the deceased’s own dilated cardiomyopathy is more important.