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[目的]分析5例以腹痛为表现的心源性猝死的临床特点以及尸检病理学特征。[方法]对某院2000年1月以来所涉及医疗纠纷的35例猝死尸检病例进行统计分析。[结果]5例中有3例主要或伴有冠状动脉粥样硬化,2例伴有渗出性心包炎。死亡原因2例为失血性休克,3例因冠状动脉粥样硬化或心包炎等致急性心功能不全而死亡。[结论]为提高诊断率,减少误诊,早期预防、早期治疗,提高医疗质量,并为医疗纠纷鉴定提供可靠的鉴定依据。
[Objective] To analyze the clinical features of 5 cases of sudden cardiac death with abdominal pain and the pathological features of autopsy. [Methods] A total of 35 cases of sudden death autopsy cases in a hospital from January 2000 to January 2000 were analyzed statistically. [Results] In 5 cases, 3 cases were mainly accompanied with coronary atherosclerosis and 2 cases with exudative pericarditis. 2 died of hemorrhagic shock and 3 died of acute heart failure due to coronary atherosclerosis or pericarditis. [Conclusion] In order to improve the diagnostic rate, reduce the misdiagnosis, early prevention, early treatment, improve the quality of medical care, and provide a reliable identification basis for the identification of medical disputes.