论文部分内容阅读
随着社会的发展，冠心病的发病率日益增高，然而有些人尽管患有冠心病，但却无临床表现，有的甚至心电图也显示正常．这些隐匿型冠心病患者在日常生活中以及在医疗实践中常因突然意外地死亡而引起纠纷。为此本文作者从冠心病的尸检例中选出死前无冠心病临床表现的3例摔死病例进行分析．研究结果显示：3例冠状窦口均有不同程度的狭窄作有多支性冠状动脉粥样硬化．2例左室前壁有大范围的心肌梗死伴点灶状陈旧性心肌梗死，1例心肌有小片状陈旧性梗死件小片状新鲜的心肌梗死。摔死与冠状动脉粥样硬化，心肌梗死，心脏传导系统狭窄有直接关系．但心脏传导系统疾病在摔死中尤其重要．引起摔死的诱因为过劳、外伤、及上呼吸道感染，精神紧张等．
With the development of society, the incidence of coronary heart disease is increasing day by day. However, although some people have coronary heart disease, they have no clinical manifestations and some even have normal electrocardiogram. These patients with occult coronary heart disease in their daily lives and in medical practice often caused by sudden and unexpected death. To this end, the author selected from the autopsy of coronary heart disease in the absence of clinical manifestations of coronary heart disease in 3 cases of death cases were analyzed. The results show that: 3 cases of coronary sinus ostium have varying degrees of stenosis for multiple coronary atherosclerosis. 2 cases of left anterior wall of a large area of myocardial infarction with focal old myocardial infarction, 1 case of myocardial infarction pieces of small piece of fresh myocardial infarction. Dying and coronary atherosclerosis, myocardial infarction, cardiac conduction system is directly related to stenosis. However, heart-conduction system diseases are especially important when they die. Causes of death caused by overwork, trauma, and upper respiratory tract infection, mental stress and so on.