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因烧伤合并多器官功能衰竭死亡患者内脏病变的临床及尸检诊断

Clinical and Autopsy Diagnoses of Visceral Affections of Patients Who Died Because of Complicated Burns with Multi-organ Failure.

作者信息

Taran A, Baciu N, Rafulea V, German A

机构信息

Nicolae Testemitanu State Medical University and Hospital of Orthopaedics and Trauma, Chisinau, Republic of Moldova.

出版信息

Ann Burns Fire Disasters. 2005 Dec 31;18(4):177-84.

Abstract

The anatomicopathological investigations carried out in a total number of 186 cadavers during the last decade were reviewed. In these retrospective studies of necropsy protocols related to different affections of visceral organ systems that evolved asymptomatically, 30.1% involved the neurological system, 36.0% the uropoiesis system, 34.4% the gastrointestinal system, 52.0% the hepatobiliary system, and 39.7% the cardiovascular system, with a prevalence in the pulmonary system of 64.2%. A comparative analysis of the incidence of affections detected in various visceral organs (on the basis of necropsy data in the 186 burn patients) and the incidence of their clinical manifestations showed that in 35% of patients with extensive and deep burns all of these conditions developed asymptomatically and were diagnosed only through autopsy.

摘要

回顾了过去十年间对总共186具尸体进行的解剖病理学研究。在这些对与内脏器官系统不同无症状病变相关的尸检记录的回顾性研究中,30.1%涉及神经系统,36.0%涉及泌尿生殖系统,34.4%涉及胃肠系统,52.0%涉及肝胆系统,39.7%涉及心血管系统,肺部系统的患病率为64.2%。对在各种内脏器官中检测到的病变发生率(基于186例烧伤患者的尸检数据)与其临床表现发生率的比较分析表明,在35%的广泛深度烧伤患者中,所有这些病症均无症状发生,仅通过尸检才得以诊断。

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