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电击致死中的心脏病理学。

Cardiac pathology in death from electrocution.

作者信息

Fineschi Vittorio, Karch Steven B, D'Errico Stefano, Pomara Cristoforo, Riezzo Irene, Turillazzi Emanuela

机构信息

Institute of Forensic Pathology, Faculty of Medicine, University of Foggia, Ospedali Riuniti, Via L. Pinto 1, 71100 Foggia, Italy.

出版信息

Int J Legal Med. 2006 Mar;120(2):79-82. doi: 10.1007/s00414-005-0011-8. Epub 2005 Aug 3.

Abstract

To better characterize the morphologic changes in electrocution, morphologic changes in the hearts of 21 subjects, who died instantaneously of electrocution, were compared to the hearts of decedents with different types of death. Sixteen myocardial samples per heart were processed for histological examination, and sections were prepared with a variety of specific stains. The frequency, location and extent of myocellular segmentation (stretching and/or rupture) of intercalated discs and associated changes of myocardial bundles and single myocells [myofibre break-up (MFB)] were recorded, quantitatively analysed and statistically evaluated. The frequency of MFB was maximal in cases of electrocution (90%). The findings show that MFB is an ante-mortem change and may be a distinct finding in electrocution.

摘要

为了更好地描述触电死亡时的形态学变化,将21例触电瞬间死亡者的心脏形态学变化与不同死因死者的心脏进行了比较。每颗心脏取16个心肌样本进行组织学检查,并用多种特异性染色剂制作切片。记录、定量分析并统计评估闰盘的肌细胞分割(拉伸和/或破裂)的频率、位置和范围,以及心肌束和单个肌细胞的相关变化[肌纤维断裂(MFB)]。MFB的频率在触电死亡病例中最高(90%)。研究结果表明,MFB是生前变化,可能是触电死亡的一个显著特征。

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