Nordrum I, Eide T J, Jørgensen L
Department of Pathology, University Hospital of Tromsø, Norway.
Forensic Sci Int. 1998 May 11;93(2-3):89-98. doi: 10.1016/s0379-0738(98)00033-4.
The aim of this study was to describe unexplained and explained natural deaths among decreased above 1 year of age in a series of medico-legal autopsies collected over a 20-year period (1972-1992). Unexplained natural deaths can be defined as those deaths where no cause-of-death is revealed after post-mortem and without circumstances indicating violent death. The death was considered to be natural in 491 cases above 1 year of age among a total of 2004 medico-legal autopsies. In 428 of these cases an explanation as to the cause-of-death was reached. The three most frequently encountered causes-of-death were complications to coronary atherosclerosis (62.6%), diseases of the lung (12.4%) and diseases in the central nervous system (9.8%). Among 59 cases with unexplained natural death, 50 had various chronic diseases or fatty liver. In 43 of these cases the deceased had epilepsy or chronic alcoholism. In nine cases (1.8% of the natural deaths) no explanation to the cause-of-death could be given.
本研究的目的是描述在20年期间(1972 - 1992年)收集的一系列法医尸检中1岁以上死者的不明原因和已查明原因的自然死亡情况。不明原因的自然死亡可定义为那些在尸检后未揭示死因且无表明暴力死亡情况的死亡。在总共2004例法医尸检中,491例1岁以上的死亡被认定为自然死亡。在其中428例病例中得出了死因解释。最常遇到的三种死因是冠状动脉粥样硬化并发症(62.6%)、肺部疾病(12.4%)和中枢神经系统疾病(9.8%)。在59例不明原因自然死亡病例中,50例患有各种慢性疾病或脂肪肝。其中43例死者患有癫痫或慢性酒精中毒。在9例病例中(占自然死亡的1.8%)无法给出死因解释。