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[非冠状动脉病因自然猝死尸检病例的病因及年龄和性别分布]

[Causes and as age and sex distribution in autopsy cases of sudden natural death of noncoronary etiology].

作者信息

Hecht A, Löffler D

出版信息

Zentralbl Allg Pathol. 1984;129(1):3-9.

PMID:6730745
Abstract

In 1,382 autopsied cases of sudden death we found 409 which died of a non-coronarogenic cause. The proportion of women was significantly higher (37.2%) than that of men (23%). The age at death in the different kinds of sudden death of this genesis was lower than in those persons whose death was not acute. The death age was especially low in the group of instantaneous death. Like in coronarogenic death the part of sudden death was higher in males than in females. The distribution of the frequency of causes of sudden death was the same as that in general mortality. Embolia of the lung was most frequent in both sexes and followed by cerebrovascular lesions. Acquired heart/valve/diseases ranged next in women and were followed by malignant tumors and aortic rupture. On the other hand, aortic rupture was at the third place in males and followed by malignant tumors and hemorrhages of the gastrointestinal tract. In both sexes the mentioned causes of death belong over 70% to all sudden deaths of non-coronarogenic origin. Other important causes of non-coronarogenic acute death are discussed.

摘要

在1382例猝死尸检病例中,我们发现409例死于非冠状动脉源性病因。女性的比例(37.2%)显著高于男性(23%)。这类病因导致的不同类型猝死的死亡年龄低于非急性死亡者。在瞬间死亡组中,死亡年龄尤其低。与冠状动脉源性死亡一样,男性猝死的比例高于女性。猝死原因的频率分布与一般死亡率相同。肺栓塞在男女中最为常见,其次是脑血管病变。后天性心脏/瓣膜/疾病在女性中位列其次,之后是恶性肿瘤和主动脉破裂。另一方面,主动脉破裂在男性中位列第三,之后是恶性肿瘤和胃肠道出血。在男女两性中,上述死因占非冠状动脉源性猝死总数的70%以上。还讨论了非冠状动脉源性急性死亡的其他重要原因。

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