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目的为探讨引起医疗纠纷案例中猝死发生的特点，特别是其年龄、性别、科室、疾病的分布和发生纠纷的原因，为有关单位调处医疗纠纷和制定有关法规提供科学依据。方法自本教研室1955～1996年42a间受理的法医病理学尸检资料中挑选各种医疗纠纷案例；制定统一表格，将其中猝死者逐一登记，并进行统计分析。结果42a中涉及医疗纠纷的淬死135例。其中男87例、女48例。年龄自新生儿～67岁。以新生儿和婴儿居多（67例），男明显多于女；其次为25～34岁的青壮年组（21例），女多于男。近12a发生的猝死（94例）是过去30a（41例）的2．3倍。猝死疾病以呼吸系统最常见（46％），次为心血管系统疾病（25％）；但54例成人猝死者心血管系统疾病占首位（26例），次为泌尿生殖系统疾病（12例）。发生的科室多见于产科和儿科（74例）。结论认为近10年来医疗纠纷中猝死案例明显增多；医疗纠纷中非医疗事故远多于医疗事故；法医病理尸检对正确、合理地调处医疗纠纷，并对探讨猝死的发生机制，反馈、丰富和发展相关临床学科的内容，以及提高诊治水平均具有重要意义。
Objective To explore the causes of sudden death in cases of medical malpractice, especially its age, sex, department and distribution of diseases and causes of disputes, and provide a scientific basis for mediating medical disputes and formulating relevant laws and regulations. Methods A variety of cases of medical disputes were selected from the autopsy data of forensic pathology accepted by our department during the period from 1955 to 1996, 42a. A unified form was set up and the sudden deaths were registered one by one and analyzed statistically. Results 42a involved in medical disputes in 135 cases of quenching. There were 87 males and 48 females. Age from the newborn ~ 67 years old. Mostly newborns and infants (67 cases), more men than women; followed by young adults aged 25 to 34 (21 cases), more women than men. Sudden death in nearly 12a (n = 94) was 2.3 times greater than in the last 30 years (n = 41). Sudden death was the most common respiratory system (46%), followed by cardiovascular diseases (25%). However, the 54 cases of sudden death due to cardiovascular diseases accounted for the first place (26 cases), followed by genitourinary diseases (12 cases) . Occurred departments more common in obstetrics and pediatrics (74 cases). Conclusions: The number of sudden death cases in medical disputes in the recent 10 years has been significantly increased; the number of non-medical accidents in medical disputes is far more than that in medical accidents; the autopsy of forensic pathology correctly and reasonably mediates medical disputes and discusses the mechanism, feedback, enrichment and development of sudden death The content of related clinical disciplines, and improve the diagnosis and treatment are of great significance.