首页|壁冠状动脉-心肌桥的法医病理检验探讨

壁冠状动脉-心肌桥的法医病理检验探讨

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目的 探讨壁冠状动脉-心肌桥的诊断在法医病理检验鉴定工作中的意义.方法 对华南地区某市某鉴定机构2021~2023年20例心肌桥尸检案例进行回顾性分析,讨论心脏存在心肌桥病变对死亡原因推断分析的影响.结果 心肌桥与心肌缺血有一定的相关性;可在一定因素的情况下独立构成死因或合并其他心脏基础疾病构成联合死因.结论 心脏存在基础病变及心肌桥时,应综合考虑心源性猝死中的各种内外部因素,分析其在死亡中的参与程度.
Analysis the significance of mural coronary artery-myocardial bridge in forensic pathological identification
Objective To explore the significance of the diagnosis of mural coronary artery-myocardial bridge in forensic pathological identification.Methods A retrospective analysis of 20 autopsy cases of myocardial bridge from 2021~2023 was conducted to discuss the impact of myocardial bridge on the inference of the cause of death.Results Myocardial bridge was involved in sudden cardiac death induced by various factors through affecting cardiovascular function,which constituted an independent or combined cause of death.Conclusion When there are basic cardiac lesions and myocardial bridge,the internal and external factors in sudden cardiac death should be considered comprehensively to analyze their involvement in death.

Forensic pathologyMyocardial bridgeCause of deathCoronary atherosclerosis

周守阳、杨卫红

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郑州大学基础医学院病理学与法医学系,河南 郑州 450000

广西金桂司法鉴定中心,广西 南宁 530022

法医病理学 心肌桥 猝死 死亡原因 冠状动脉粥样硬化

河南省医学教育研究项目郑州大学课程思政教育教学改革示范课程重点项目郑州大学一流课程建设项目

Wj1x20221912022ZZUKCSZ0442023ZZUYLKC075

2024

中国法医学杂志
中国法医学会

中国法医学杂志

CSTPCD
影响因子:0.352
ISSN:1001-5728
年,卷(期):2024.39(2)
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