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目的:分析老年人肺动脉栓塞猝死病例栓塞形成的高危因素及法医病理鉴定特点。方法:回顾性分析5例老年肺动脉栓塞猝死病例的临床资料,并对其进行尸检,对尸检病理结果进行记录分析。结果:对老年人肺动脉栓塞猝死病例进行尸检发现,在病例肺动脉和心脏均发现了血栓,血栓体积较大或者数量较多,血栓表现为混合性质或者红色。结论:肺动脉血栓形成的高危因素主要包括下肢静脉血栓、重症心血管疾病等,临床医务人员和法医工作人员应该对肺动脉栓塞加以关注和重视,给予特异性检查,从而来对法医病理诊断进行明确。
Objective: To analyze the risk factors of embolism in the sudden death of pulmonary embolism in the elderly and the characteristics of forensic pathology. Methods: A retrospective analysis of 5 cases of sudden pulmonary embolism in elderly patients with clinical data, and its autopsy, autopsy pathological results were recorded and analyzed. Results: An autopsy of sudden death in pulmonary embolism in elderly patients found that thrombi were found in both pulmonary arteries and heart, the volume of thrombus was larger or the volume was larger, and thrombus showed mixed nature or red color. Conclusion: The high risk factors of pulmonary thrombosis include venous thrombosis of the lower extremities and severe cardiovascular diseases. Clinicians and forensic workers should pay attention to and pay attention to pulmonary embolism, and give specific examination to make clear the forensic pathological diagnosis.