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目的分析猝死综合征的发病原因、临床特点、病理变化,为临床提供防范措施。方法收集6年间猝死的尸检标本56例中筛选26猝死标本进行系统病理解剖和组织病理学观察和分析;对动脉系统病变按病理诊断标准分为脂纹、纤维斑块、粥样斑块、复合病变四期;结果 26例发生猝死综合征的死者,男:女为3:1,冠心病猝死为第1位,其次为肺栓塞。结论对猝死者及时系统进行病理解剖能明确死因,尤其是对动脉病变按基本病变和病变分级进行检查,能明确病因、总结经验、吸取教训、防范未然、化解医患矛盾,提高急诊救治率。
Objective To analyze the causes, clinical features and pathological changes of sudden death syndrome and to provide preventive measures for clinical practice. Methods Sixty-six autopsy specimens of sudden death were collected and screened for 26 cases of sudden death in six years for systematic pathological anatomy and histopathological observation. The pathological diagnosis of arterial system was divided into three groups according to the pathological criteria: lipid pattern, fibrous plaque, atherosclerotic plaque, The results showed that 26 cases died of sudden death syndrome, male: 3: 1 female, sudden death of coronary heart disease as the first place, followed by pulmonary embolism. Conclusions The pathological anatomy of the timely death system can identify the cause of death, especially the basic and pathological classification of the arterial disease. It can make clear the cause, summarize the experience, learn the lesson, prevent the contradiction and improve the emergency treatment rate.