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食管静脉曲张破裂致猝死——基于尸检的病例报告

Sudden death due to ruptured oesophageal varices - autopsy-based case report.

作者信息

Sonwani Nagendra Singh, Ateriya Navneet, Kumar Arvind, Kohli Anil, Banerjee Kalyan Kumar

机构信息

Department of Forensic Medicine, University College of Medical Sciences & GTB Hospital, Delhi, India.

Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Gorakhpur, India.

出版信息

Med Leg J. 2020 Dec;88(4):189-191. doi: 10.1177/0025817220926929. Epub 2020 Jun 5.

Abstract

Acute haemorrhage from ruptured oesophageal varices is a serious consequence of portal hypertension in cirrhotic patients. It represents a medical emergency with a high morbidity and mortality rate. Studies over the years have shown a direct link with chronic alcoholism in the development of such complications. Although the gastrointestinal system accounts for a few numbers of sudden deaths, bleeding through ruptured varices represent a life-threatening condition. The role of forensic pathologist is vital in dealing with sudden deaths. Here, we report a case of a 46-year-old man who died suddenly following the rupture of oesophageal varices.

摘要

食管静脉曲张破裂引起的急性出血是肝硬化患者门静脉高压的严重后果。它是一种发病率和死亡率都很高的医疗急症。多年来的研究表明,这种并发症的发生与慢性酒精中毒有直接联系。虽然胃肠道系统导致的猝死数量不多,但静脉曲张破裂出血是一种危及生命的情况。法医病理学家在处理猝死案件中起着至关重要的作用。在此,我们报告一例46岁男性因食管静脉曲张破裂突然死亡的病例。

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