摘要
目的:分析云南西部110例猝死病例的病因及其临床特征。方法:收集2010年至2017年间大理滇西司法鉴定中心71例猝死尸检和大理大学第一附属医院39例猝死病例,对猝死者的基本情况、尸检所见、死因、可能诱因进行分析。结果:110例猝死中,以青壮年男性多见(男性占65.5%,中位年龄44.5岁);心源性猝死55例(占50.0%),其中以冠心病猝死最多见;其他系统猝死55例(占50.0%),呼吸系统猝死最多见。结论:心源性猝死是猝死的主要类型,冠心病为主要病因;非心源性猝死中以呼吸系统最为常见,肺部疾病为主要病因。
Objective: To analyze the etiology and clinical characteristics of 110 cases of sudden death(SD)in western Yunnan.Methods: The data of 71 cases of SD from Dali Dianxi Judicial Expertise Center and 39 cases of SD from the First Affiliated Hospital of Dali University from 2010 to 2017 were collected. Such basic information as the cause, the autopsy, cause of death and possible causes were analyzed. Results: Among the 110 cases, sudden death often occurred in young and middle-aged males with the median age of 44.5, accounting for 65.5%. 55 cases(50.0%)died of sudden cardiac death(SCD), in which coronary heart disease was the most common cause; 55 deaths(50.0%)were caused by other system diseases and the most frequent cause was respiratory system diseases. Conclusion: Sudden cardiac death is the largest cause of sudden death with coronary heart disease as the most common cause. Besides, sudden death caused by respiratory system diseases takes the second place and the most frequent cause of such death results from pulmonary diseases.
作者
赵彬
陈继樑
杨文仲
常兴
张丽文
潘云
Zhao Bin;Chen Jiliang;Yang Wenzhong;Chang Xing;Zhang Liwen;Pan Yun(Pre-clinical College,Dali University,Dali,Yunnan 671000,China;Dali Dianxi Judicial Expertise Center,Dali,Yunnan 671000,China;Criminal Technology Squadron,Public Security Bureau of Lanping Couty,Lanping,Yunnan 671400,China;Clinical College,Dali University,Dali,Yunnan 671000,China)
出处
《大理大学学报》
CAS
2018年第8期71-75,共5页
Journal of Dali University
基金
云南省高校分子病理重点实验室建设基金资助项目(云教科[2016]37号)
关键词
猝死
心源性猝死
临床特征
病因
sudden death
sudden cardiac death
clinical characteristic
etiology