Department of Morbid Anatomy and Forensic Medicine, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Int J Womens Health. 2011;3:307-12. doi: 10.2147/IJWH.S22957. Epub 2011 Sep 9.
The aim of this study was to review autopsies to determine the pattern of deaths in females at Wesley Guild Hospital, Ilesa, Nigeria.
A 9-year retrospective study was done of all autopsies done on females in the Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Hospital, Ilesa, Nigeria, from January 2002 to December 2010. Records of all autopsies done on females during the period were reviewed.
During the study period 215 cases of female death were autopsied. The age range was 0-75 years (mean = 32.9). Deaths due to trauma were most common (57.2%), followed by obstetric deaths (15.8%). Deaths due to infections and cardiovascular diseases accounted for 13% and 5.6%, respectively. Injuries sustained from automobile accidents were responsible for 88.6% of all trauma deaths. Gunshot injuries accounted was 4.9% of these trauma deaths. The causes of death from automobile accidents included multiple injuries (49.5%), head injury (38.5%), and hypovolemia (8.3%). Obstetric deaths were predominantly due to uterine sepsis (51.5%) and hemorrhagic shock (39.4%). About 39% of deaths from infection were due to septicemia. Acute bacterial meningitis, acute lobar pneumonia, and malaria caused 23.1%, 15.4%, and 7.7% of deaths from infections, respectively. Four cases of sudden unnatural deaths (other than trauma) were recorded.
Trauma was the most common cause of death in women autopsied in our hospital, and automobile injuries were the most common causes of these trauma deaths. Obstetric deaths ranked second. Sepsis and hemorrhage were the most common causes of these obstetric deaths. Deaths from eclampsia were low. Requests for autopsies on women who died from cancer were few. There is a need for clinicians to ascertain the actual cause of death in women who die from cancer.
本研究旨在回顾韦斯利公会医院（尼日利亚伊莱萨）女性尸检结果，以确定女性死亡模式。
对 2002 年 1 月至 2010 年 12 月期间在奥巴费米·阿沃洛沃大学教学医院韦斯利公会医院法医病理学系进行的所有女性尸检进行了 9 年回顾性研究。审查了该期间所有女性尸检的记录。
在研究期间，对 215 例女性死亡进行了尸检。年龄范围为 0-75 岁（平均值=32.9）。创伤性死亡最为常见（57.2%），其次是产科死亡（15.8%）。感染和心血管疾病导致的死亡分别占 13%和 5.6%。机动车事故造成的损伤导致所有创伤性死亡的 88.6%。枪伤导致这些创伤性死亡的 4.9%。机动车事故导致的死亡原因包括多处损伤（49.5%）、头部损伤（38.5%）和低血容量（8.3%）。产科死亡主要由子宫感染（51.5%）和出血性休克（39.4%）引起。感染导致的死亡约有 39%是由于败血症。急性细菌性脑膜炎、急性大叶性肺炎和疟疾分别导致 23.1%、15.4%和 7.7%的感染死亡。记录了 4 例非创伤性突然意外死亡。
创伤是我院尸检女性最常见的死亡原因，机动车事故是这些创伤死亡的最常见原因。产科死亡位居第二。这些产科死亡的最常见原因是感染和出血。子痫导致的死亡很少。要求对死于癌症的女性进行尸检的请求很少。临床医生需要确定死于癌症的女性的实际死因。
