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右心室包虫囊肿破裂导致的猝死。

Sudden death due to hydatid cyst rupture located in right ventricle.

作者信息

Demirci Serafettin, Gunaydin Gursel, Dogan Kamil Hakan, Toy Hatice

机构信息

Department of Forensic Medicine, Meram Medical School, Selcuk University, Konya, Turkey.

出版信息

Am J Forensic Med Pathol. 2008 Dec;29(4):346-8. doi: 10.1097/PAF.0b013e3181847e69.

Abstract

Hydatid cyst is a parasite disease, which is common in those countries where animal husbandry is extensive, but preventive medicine is lacking. Endemic regions are South Europe, South America, Africa, Turkey, Australia, New Zealand, and India. In the study, a sudden death case due to cardiac hydatid cyst rupture located in right ventricle has been presented with a review of the literature. The victim was a 10-year-old girl of a family who raised sheep. External examination of the body showed congestion in both the head and face but neither trauma nor evidence of violence or eruptions on the skin were found. At autopsy, through a vertical incision on the frontal surface of truncus pulmonalis, a total of 8 daughter cysts were obtained. A 6 x 5 cm cyst was observed in the right ventricular apex. In those countries where hydatid cyst is endemic, and when sudden unexpected death occurs in individuals involved in animal husbandry, cardiac hydatid cyst must be kept in mind as a cause.

摘要

包虫囊肿是一种寄生虫病,在畜牧业发达但缺乏预防医学的国家较为常见。流行地区包括南欧、南美洲、非洲、土耳其、澳大利亚、新西兰和印度。在本研究中,报告了一例因位于右心室的心脏包虫囊肿破裂导致的猝死病例,并对相关文献进行了综述。受害者是一名来自养羊家庭的10岁女孩。尸体外部检查显示头面部充血,但未发现外伤、暴力迹象或皮肤疹。尸检时,通过在肺动脉干前表面做垂直切口,共获得8个 daughter 囊肿。在右心室尖观察到一个6×5厘米的囊肿。在包虫囊肿流行的国家,当从事畜牧业的个体突然意外死亡时,必须考虑心脏包虫囊肿作为死因。 (注:原文中“daughter cysts”直译为“子囊肿”,这里保留英文表述,因为不确定是否有更准确的中文专业术语,若有更合适的中文术语可替换。)

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