【摘要】 目的探讨心源性猝死的诱因、病因、发生规律及发病机制。方法利用Excel统计软件回顾性分析1294例心源性猝死案例资料。结果1294例中792例诱因明确,心源性猝死的诱因以精神刺激、活动及劳累、便秘或排便、饱餐、睡眠、饮酒等多见,占93.55%;对1169例病因分析结果为冠心病(65.53%)、风湿性心脏病(8.90%)、心肌炎(6.16%)、心肌病(4.87%)、肺心病(3.51%)、高血压性心脏病(1.80%)为心源性猝死的6大死因,占90.77%。对800例死亡时间段明确的病例分析显示0600~1200时猝死的发生率为44.50%,高于其他时段。结论心源性猝死的法医学鉴定除要进行详细的尸体解剖外,还要对死者的相关资料如基础疾病、诱因、年龄、死亡时间等进行分析,这样不仅有助于得出正确的鉴定结论,还可为以后的科研工作积累资料。更多还原

【Abstract】 Objective To explore the induced factors,pathogeny and mechanism of cardiac sudden death (SCD).Methods The data of 1 294 cases of SCD was analyzed retrospectively by excel statistic software. Results ①The main induced factors of SCD were involved the unstable mood, activity, excess tired, constipation,over meal, sleep and drinking. ②Coronary heart disease (65.53%), rheumatic heart disease (8.90%), myocarditis(6.16%), myocardiopathy (4.87%), pulmonary heart disease (3.51%) and hypertensive heart disease (1.80%) were the six fundamental causes of SCD. ③The incidence of SCD was higher during 6-12 o’clock in a day. Conclusion The causes of SCD should decided by autopsy with the information of heart diseases and other factors.更多还原