【摘要】 <正> 突然死亡者称猝死。猝死判定标准尚不统一。有的认为在出现致死症状后“立即”死亡者也有的认为在“一小时内”或“24小时之内”甚至“6天内”死亡者均属猝死。多数认为“猝死是指出现症状或体征后立即或在24小时内死亡者”。本文收集了我校28年院外突然死亡的50例临床和尸解资料加以探讨,拟从中总结经验教训,进一步降低病死率。更多还原

【Abstract】 A series of 50 cases of sudden death happened elsewhere from our hospital during a period of twenty eight years (1949.1-1977.12) is studied. It includes 45 cases of male and 5 cases of female.The age of the patients ranges from 16 to 65, 35 of them are beyond the age of 40 and the remainders are under forty. Most are cadres. The precipitating factors of death are overfatigne, drinking, full meal, mental excitement and sudden change of posture. Symptoms appeared in sixteen cases before death, but in 34 cases, they were absent.Evidence on syphilitic cardiovascular disease were found in 22 cases who died before the year 1956, on coronary heart disease in 13(8 of which were complicated with acute myocardial infarct and 1 with old myocardial infarct), myocarditis in 3 and congenital stenosis of the orifice of coronary in 1 .One case was subjected to acute pnlmonary embolism and another to unidentified cause.Among the fifty cases, 39 had lesions of coronary artery and fresh cmboli were observed in one of them. Marked narrowing of the lumin was uncommon. Spasm of the coronary artery was believed to be the main’cause of sudden death.In that case with obscure cause of death, the clinical and pathological findings resemble those of S.M.D. It merits further investigation.Early recognition and handling of the disease are necessary as far as prevention and treatment are concerned, and further advices on living should be directed to the patients. Since coronary heart disease accounts for most of the causes of sudden death, precautions should be taken against the disease particularly those with angina of the abdominal type. Movements of the extremities should be encouraged to patients confined to bed to avoid thrombus formation. If cases of sudden death can be recognized and intensively treated in due time,it is estimated that 75% of the patients can be survived.更多还原