36 例心源性猝死尸检的临床病理学研究*

目的:分析心源性猝死的临床病理学特征,为心源性猝死的诊断和预防提供理论依据。方法:收集36例心源性猝死病例的尸检解剖资料,进行病理组织学检查。结果:36例心源性猝死者中,冠心病21例,占心源性猝死者总数的58.33%;心律失常性右心室心肌病猝死者3例,占心源性猝死者总数的8.33%。结论:科学系统的尸检可以明确猝死原因,为医疗纠纷鉴定提供可靠依据,同时,对提高医疗质量,早期诊断、治疗心血管系统疾病和减少猝死发生起有重要作用。

Clinicopathological Analysis of Autopsy of 36 Caseswith Sudden Cardiac Death*

Objective: To analyze the clinicopathological characteristics of autopsy of thirty-six cases with sudden cardiac death and provide a theoretical basis for the diagnosis and prevention of sudden cardiac death.Methods: Thirty-six patients with sudden cardiac death were autopsied and the histopathological examinations were performed by being routinely embedded in paraffin,complete serial sections and stained with HE and then observed light microscope and the information of thirty-six autopsy cases were collected with sudden cardiac death.Results:Among thirty-six died of sudden cardiac death,the cases with coronary heart disease was the most abundant accounting for 21 cases and for 58.33% of the total cases,and the cases with arrhiythmogenic right ventricular cardiomyopathy accounted for 3 cases and for 8.33% of the total cases.Conclusion: Correct and systematic autopsy could determine the causes of sudden death and offer scientific evidence for medical identification,otherwise,it was important to improve medical quality,early diagnosing,treatment of cardiovascular diseases and decrease the sudden cardiac death rate.