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铁石心肠:一例巨大心肌钙化的尸检病例

A heart of stone: an autopsy case of massive myocardial calcification.

作者信息

Na Joo-Young

机构信息

Biomedical Research Institute, Chonnam National University Hospital, 42, Jebong-ro, Dong-gu, Gwangju, 61469, Republic of Korea.

出版信息

Forensic Sci Med Pathol. 2018 Mar;14(1):102-105. doi: 10.1007/s12024-017-9936-8. Epub 2017 Dec 2.

DOI:10.1007/s12024-017-9936-8
PMID:29197949
Abstract

A case of massive calcification of the myocardium is presented that was diagnosed by postmortem computed tomography (PMCT) and confirmed by conventional autopsy. There are two types of pathologic calcification, dystrophic and metastatic. Massive calcification of the myocardium is associated with variable clinical outcomes, including sudden unexpected death. A 53-year-old man was found after he collapsed beside a walkway. He was transferred to hospital and died approximately two months later. To investigate the cause of death, PMCT and conventional autopsy were performed, which revealed massive calcification of the myocardium, a very rare finding at autopsy. Massive myocardial calcification was one of the possible causes of his collapse. PMCT may be a useful diagnostic tool for detecting massive calcification of the myocardium following sudden cardiac death.

摘要

本文报告一例心肌大量钙化病例,该病例经尸体计算机断层扫描(PMCT)诊断,并经传统尸检证实。病理性钙化有营养不良性和转移性两种类型。心肌大量钙化与多种临床结局相关,包括猝死。一名53岁男性在人行道旁晕倒后被发现。他被送往医院,约两个月后死亡。为调查死因,进行了PMCT和传统尸检,结果显示心肌大量钙化,这在尸检中是非常罕见的发现。心肌大量钙化是他晕倒的可能原因之一。PMCT可能是检测心源性猝死心肌大量钙化的有用诊断工具。

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