论文部分内容阅读
目的:通过对心源性猝死(sudden cardiac death,SCD)的探究,了解SCD的病理及临床特征,完善法医临床工作的理论依据,提高临床工作的防治效果。方法:对猝死者进行验尸检验,在检验过程中从不同组织及部位进行材料收集,采取福尔马林进行固定(浓度为10%),采取石蜡包进行切片,并利用HE进行常规性染色,观察。结果:SCD尸解病理特征是猝死者的心脏表面均有程度不同的脂肪组织浸润,以右心为著;心原性猝死临床特征较多,患者出现心原性猝死时会表现出意识不正常,同时存在烦躁的情绪,严重时将直接导致呼吸困难,并且由于人体电解质不平衡会导致大量出汗。若病情未得到有效控制,会给患者生命安全带来严重威胁。结论:通过探讨心脏猝死的病理基础及临床特点,并配合法医学鉴定,有效的提高临床防止效果及避免医疗纠纷,同时在一定程度上还司法程序中的当事人以公正。
Objective: To explore the pathological and clinical features of SCD by exploring the cause of sudden cardiac death (SCD), to improve the theoretical basis of forensic clinical work, and to improve the prevention and treatment effect of clinical work. Methods: The autopsy was performed on the sudden death. Materials were collected from different tissues and sites during the test. The specimens were fixed with formalin (concentration 10%), paraffin-embedded and sliced. HE staining was performed, Observed. Results: The pathological features of autopsy in SCD were sudden cardiac death with varying degrees of adipose tissue infiltration on the surface of the heart, with right heart as the main clinical feature of sudden cardiac death. Patients with sudden cardiac death showed abnormal consciousness , At the same time there is irritability, severe cases will lead to respiratory problems, and due to human electrolyte imbalance will lead to a lot of sweating. If the disease is not effectively controlled, will give patients a serious threat to the safety of life. Conclusion: By discussing the pathological basis and clinical features of sudden cardiac death, and with the forensic identification, it can effectively improve the clinical prevention and avoid medical disputes, and at the same time, to a certain extent, the parties involved in the judicial proceedings should be impartial.