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目的对肺动脉血栓栓塞发生猝死的病因及临床病理学特点进行深入的探讨和仔细的研究。方法自从2011年7月~2012年6月期间,在进行尸检证实是由于肺动脉血检引发猝死的患者有20例,经过临床以及对法医病理学资料进行回顾性的分析。结果诱发肺动脉血检的因素有很多,其中包括外伤和手术及心肺疾病等都可能成为引发肺动脉血检猝死的诱因,猝死的患者多为老年人,并且在检塞部位主要出现肺动脉主干以及作用在肺动脉分支处和双侧肺动脉处。结论要不断的提高人们对肺动脉检塞的正确认识,全面对临床资料进行综合分析,尽早做出诊断,从而及时对患者进行治疗,是能够降低病死率的关键。
Objective To investigate the etiology and clinicopathological features of sudden death of pulmonary thromboembolism in depth and careful study. Methods From July 2011 to June 2012, autopsy confirmed 20 cases of sudden death from pulmonary arterial blood tests. The clinical data and the forensic pathology data were retrospectively analyzed. Results Pulmonary arterial blood tests induced by many factors, including trauma and surgery and cardiopulmonary diseases may lead to sudden pulmonary death caused by sudden death, the sudden death of patients mostly elderly, and mainly in the main pulmonary embolism in the pulmonary artery and the role of Pulmonary artery branches and bilateral pulmonary artery. Conclusion It is necessary to continuously improve the correct understanding of pulmonary embolism, comprehensive analysis of clinical data, make a diagnosis as soon as possible, so that timely treatment of patients is the key to reduce mortality.