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静脉曲张破裂导致的猝死:病例报告及文献综述

Sudden death by rupture of a varicose vein: Case report and review of literature.

作者信息

Aquila Isabella, Sacco Matteo A, Gratteri Santo, Di Nunzio Ciro, Ricci Pietrantonio

机构信息

Institute of Legal Medicine, University Magna Graecia of Catanzaro, Catanzaro, Italy.

出版信息

Med Leg J. 2017 Mar;85(1):47-50. doi: 10.1177/0025817216678712. Epub 2016 Nov 15.

Abstract

Venous disease, including varicose veins and chronic venous insufficiency, is one of the most common chronic medical conditions. Haemorrhage from rupture of varicose veins in the legs is rare and can lead to sudden death. Nevertheless, this condition is not included among the causes of sudden death. In this case, an 88-year-old man was found dead in a large pool of blood at home. Initially, investigators mistakenly assumed that it was a case of homicide. Bloodstain pattern analysis was performed. An external examination of the victim showed an ulcer on the left foot and evident varicose veins untreated on the lower limbs. The aim of this study is to emphasize the role of treatment of varicose veins in the prevention of adverse events such as sudden death from acute haemorrhage.

摘要

静脉疾病,包括静脉曲张和慢性静脉功能不全,是最常见的慢性疾病之一。腿部静脉曲张破裂出血很少见,可能导致猝死。然而,这种情况并未被列入猝死原因之中。在本案例中,一名88岁男子被发现死在家中的一大滩血泊中。最初,调查人员错误地认为这是一起凶杀案。进行了血迹形态分析。对受害者的外部检查显示左脚有溃疡,下肢明显有未经治疗的静脉曲张。本研究的目的是强调治疗静脉曲张在预防诸如急性出血导致猝死等不良事件中的作用。

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