Sudden Death due to Brainstem Leukemic Hemorrhage： A Case Report

Introduction Leukem ia is a hem atologic neoplasm characterized by potential infectious and hem orrhagic com plications In adult patients with acute leukem ia,in fection is the most com m on com plication.Imtrcra nial hem orrhage (ICH) is the second most common com plication.H ow ever,ICH has been identified as the m ajor cause of m orbidity and m ortaliity in pa tients with leukem ia[1-6].A num ber of case ceports ascribed the death of leukem ic patients due to hem orrhge of the supratentorial and infratentorial brain,basal ganglia,and cerebellum [2,7-9].However,few cases have reported on brainstem hem orrhage.The current case report involved a young wom an who died of brainstem hem orrhage due to acute leukem ia,discussing the pathophysiologic m echanism underly ing ICH.Futhherm ore,the risk factors were specified,w ith a provision of suggestions to forensic pathologists in handling deaths associated w ith ICH,especially sudden unexpected deaths.

Sudden Death due to Diffuse Alveolar Hemorrhage Induced by Pul- monary Renal Syndrome： Two Case Reports

Patients developing hemoptysis or pulmonary infiltrates together with glomerulonephritis, particu- larly the rapidly progressive cases, are considered to be pulmonary renal syndrome （PRS）. The occur- rence of PRS, an etiologically rare heterogeneous group of diseases, constitutes a medical emergency associated with a high risk of fatal outcome.

82例肾上腺出血的法医病理学分析

目的分析肾上腺出血与个体死亡原因、年龄和性别的关系。方法对82例肾上腺出血的案例进行统计学分析。结果(1)肾上腺出血在猝死、感染、外伤和窒息中最多见。(2)肾上腺出血男性多于女性。猝死、外伤和中毒的肾上腺出血多见于青壮年,感染以幼儿多见,窒息主要为胎儿和新生儿。(3)猝死和窒息的肾上腺出血部位主要在髓质,感染以皮质出血为主,外伤在包膜和髓质的出血概率相等。结论在法医检案过程中,肾上腺出血可以为寻找死因提供线索。

心脏震荡致死的法医学鉴定

文章结合心脏震荡致死一案例,探讨其发病机制、法医学鉴定方法和要点,并分析其与心脏挫伤的鉴别点。

高原急性出血坏死性胰腺炎猝死的病理分析

目的：探讨高原急性出血坏死性胰腺炎所致胰源性猝死者的临床病理改变。方法：７例猝死者行尸检，对全身系统脏器作病理组织观察。结果：无痛、昏迷、休克为主要表现，多器官损害为其特征，以肺水肿最突出占１００％ ，心脏受累和脑水肿分别占８５．７％ 。脂餐、饮酒、胆石不是主要因素，药物及多种应激因素应予重视。结论：低容量休克、急性肺水肿、脑水肿、急性心力衰竭是猝死的重要原因。高原缺氧对促进胰腺组织坏死起着一定作用。

高渗氯化钠羟乙基淀粉40小容量复苏在低血容量休克及猝死患者抢救中的应用分析

目的:了解高渗氯化钠羟乙基淀粉40小容量复苏在低血容量休克及猝死患者CPR抢救中的临床效果。方法:将低血容量休克及猝死患者CPR分为常规治疗组(对照组)及高渗氯化钠羟乙基淀粉40治疗组,并观察治疗后30、60、90min血压达标(≥65mmHg)人数进行对比分析。结果:低血容量休克患者两组比较:30、60min有统计学差异(P<0.001),而90min及90min以后无统计学差异(P>0.05),两组综合比较有统计学差异(P<0.05)。猝死患者两组比较:30min时两组对比无统计学差异(P>0.05),在60、90min时两组分别统计对比有统计学差异(P60′<0.001,P90′<0.05)。结论:在低血容量休克及猝死患者临床抢救中应用高渗氯化钠羟乙基淀粉40小容量复苏方法简便,能在较短时间内恢复有效的循环量,缩短由于低血容量导致的组织器官血液灌注时间,阻断可能发生的后续多器官损害,为专科抢救效果奠定基础。