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[心肌炎病例及其对死亡机制的影响]

[Cases of myocarditis and their effect on the mechanism of death].

作者信息

Bury Anna, Meissner Ewa, Jurczyk Agnieszka P, Szram Stefan, Berent Jarosław

机构信息

Z Katedry i Zakładu Medycyny Sadowej UM w Łodzi.

出版信息

Arch Med Sadowej Kryminol. 2010 Oct-Dec;60(4):270-4.

PMID:21863735
Abstract

In this study, we describe two cases with autopsy findings of interstitial myocarditis. They show that supplementing the autopsy with histopathological examination, even when the cause of death is thought to be clear and obvious, is extremely important as it can contribute valuable information to the case, including the circumstances of death. In the first case, we discussed a tram accident in which its driver was killed. The family of the deceased reported that he had been suffering from consciousness disturbances for some time, and additional radiological examinations demonstrated abnormalities in his neck blood vessels. In the second case, a pregnant woman was admitted to hospital after a cardiac and respiratory arrest. A cesarean section was carried out but the fetus was already dead. The woman was declared dead shortly after the operation.

摘要

在本研究中,我们描述了两例经尸检发现患有间质性心肌炎的病例。这些病例表明,即便认为死因明确且明显,通过组织病理学检查对尸检进行补充仍极为重要,因为这可为案件提供有价值的信息,包括死亡情形。在第一个病例中,我们探讨了一起有轨电车事故,事故致使司机死亡。死者家属报告称,他一段时间以来一直存在意识障碍,进一步的放射学检查显示其颈部血管存在异常。在第二个病例中,一名孕妇在心脏和呼吸骤停后被送往医院。随后进行了剖宫产手术,但胎儿已死亡。该女子在手术后不久被宣告死亡。

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