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氟烷麻醉后暴发性肝衰竭。

Fulminant hepatic failure following halothane anaesthesia.

作者信息

Kumar G Pradeep, Bhat Vrinda J, Sowdi Vasantha

机构信息

Department of Forensic Medicine, Kasturba Medical College, Manipal, India.

出版信息

J Clin Forensic Med. 2005 Oct;12(5):271-3. doi: 10.1016/j.jcfm.2004.10.019.

Abstract

The forensic pathologist is responsible for determining the cause, manner and approximate time of death and injury. After recording the detailed description of the external and internal appearances, a short summary should be offered of the major positive findings and their relationship to the cause of death. In many cases this will be obvious, however when the findings are less clear-cut, or are multiple, then the alternatives should be discussed detailing the possible sequence of events and interpreting the findings in concluding the cause of death. It is essential to causally connect the autopsy findings to the cause of death. We present a case report wherein a person who sustained avulsion injury to his left hand in an industrial accident, died due to, fulminant hepatitis, hepatic encephalopathy and acute renal failure, having undergone six operations under general anesthesia with halothane during his stay in the hospital.

摘要

法医病理学家负责确定死亡和损伤的原因、方式及大致时间。在记录完尸体外部和内部外观的详细描述后,应简要总结主要阳性发现及其与死亡原因的关系。在许多情况下,这是显而易见的,然而,当发现不那么明确或存在多种情况时,则应讨论各种可能性,详细说明可能的事件顺序,并在推断死亡原因时对发现进行解读。将尸检结果与死亡原因进行因果关联至关重要。我们报告一例病例,该患者在一次工业事故中左手遭受撕脱伤,在住院期间接受了六次氟烷全身麻醉下的手术,最终死于暴发性肝炎、肝性脑病和急性肾衰竭。

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