猝死及法医学鉴定课件.ppt

冠狀動脈嚴重狹窄的鏡下觀Thereisaseveredegreeofnarrowinginthiscoronaryartery.Itiscomplexinthatthereisalargeareaofcalcificationonthelowerright,whichappearsbluishonthisHEstain.Complexatheromahavecalcification,thrombosis,orhemorrhage.猝死及法醫學鑒定

(SuddenDeath)

一.猝死的定義1.SuddenDeath外表看似健康的人由於潛在的疾病或者功能障礙所引起的突然的意外的死亡.2.猝死在世界各地的發生率二.猝死的特點突然性(Rapidly)

(1)Thetimefromthesymptomtodeathiswithin24hours.(WHO)

(2)InstantaneousDeath.2.意外性(Unexpectedly)Victimslooklikehealthyorslightsymptomsofunfataldiseases3.自然性(NaturalDeath)(1)PotentialityofDisease;(2)SuddenDeathSyndrome.Why?Where？How?三.猝死的主要原因1017例法醫猝死案件死亡原因分佈1.心血管系統疾病導致猝死冠心病52.23%高血壓性心臟病4.00%肥厚性心肌病5.70%Marfans綜合症0.50%心肌炎5.10%細菌性心內膜炎3.60%心臟傳導系統疾病2.60%肥厚性心肌病引起猝死病毒性心肌炎引起猝死2.呼吸系統疾病猝死215呼吸系統疾病統計分析疾病類型No％支氣管肺炎3516.30大葉性肺炎2712.60支氣管哮喘2310.70吸入性肺炎2121.00肺拴塞177.90腺病毒肺炎167.40間質性肺炎157.00流感肺炎125.60休克肺115.10SuddenDeathfromHypersensitivePulmonaryTuberculosis3.中樞神經系統疾病猝死腦出血引起的猝死蛛網膜下腔出血引起的猝死4.泌尿生殖系統疾病猝死尿毒癥20.2%異位妊娠7.9%妊娠高血壓綜合症10.1%羊水栓塞43.8%SuddenDeathduetoUrinarySystemDiseasesSuddendeathcausedbyectopicpregnancy,embolismofamnioticfluid5.內分泌系統和造血疾病猝死腦垂體疾病18%甲狀腺腫36%嗜鉻細胞瘤22%腎上腺功能障礙及衰竭14%胰島功能減退10%SuddenDeathcausedbyendocrinesystemdiseaseandhematologicalsystemdisease6.其他原因導致的猝死(1)青壯年猝死綜合症(SMDS)(2)嬰幼兒猝死綜合症(SIDS)(3)抑制死四.猝死常見的誘因和發生環境AthleticSuddenDeathSuddendeathinducedbydrugaddictionInternetAddictionSuddenDeathWeight-reducingaidandcosmetologyrelatedsuddendeath五.猝死的法醫鑒定劉增祥,男，45歲，河北人，在西安南郊從事企業經營，平時身體健康。2004年09月01