Oberbeck D, Janssen W, Petersen C
Institut für Rechtsmedizin der Univ. Hamburg.
Versicherungsmedizin. 1993 Apr 1;45(2):58-63.
In 23,707 forensical and 25,564 clinical post-mortem examinations a total number of 196 deaths from bronchial asthma were determined retrospectively. Furthermore investigated were 29 cases in which asthma had the importance of a pathological side finding. Described are the histories, epidemiological data as well as morphological and histological findings. The characteristic morphological triad of thickening of the epithelial basement membrane, hypertrophy of the muscle coat in the bronchi and mucus plugging were found in almost all cases of asthma death. Regarding to forensical and insurance medical aspects it is important to consider the accompanying circumstances and supporting facts of the death, therapeutical procedures and death causing concurrent non-natural organ damages. They form the basis for reproaches in terms of neglected help or accidental homicide and can call the way of death in question,--which is illustrated in examples.
在23707例法医尸检和25564例临床尸检中，回顾性确定了196例支气管哮喘死亡病例。此外，还对29例哮喘作为病理伴随发现的病例进行了调查。文中描述了病史、流行病学数据以及形态学和组织学发现。几乎所有哮喘死亡病例均发现了上皮基底膜增厚、支气管肌层肥大和黏液阻塞这一特征性形态学三联征。从法医和保险医学角度来看，重要的是要考虑死亡的伴随情况和支持证据、治疗过程以及导致死亡的非自然器官并发损伤。它们构成了因救助不力或意外杀人而受到指责的依据，并可能对死亡方式提出质疑，文中通过实例进行了说明。
