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精神障碍者不明原因猝死现状及鉴识进展

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精神障碍者猝死风险较普通人群显著增加,同时这类死亡常受精神药物、外伤等多重复杂因素干扰,死亡原因分析极具挑战性.精神障碍者不明原因猝死由于缺乏科学的死因解释及死后精准鉴识策略,一直是司法鉴定的研究难点.近年来,随着解剖学、毒理学和遗传学等方面的研究深入,国内外已对精神障碍者不明原因猝死有了更深的认识.基于国内外相关文献,从解剖学、毒理学和遗传学等角度介绍精神障碍者不明原因猝死的研究现状与猝死机制,并凝练相关鉴识进展,以期提高对相关案件的法医学认识,供法医学鉴定参考.
Current Status and Forensic Appraisal Progress of Sudden Unexplained Death in Individuals with Mental Disorders
The risk of sudden death in individuals with mental disorders is significantly higher than that in the general population.Such death cases are often interfered by multiple complex factors such as psychotropic drugs and trauma,which poses great identification challenges.The sudden unexplained death in individuals with mental disorders has always been a difficult task in forensic appraisal due to the lack of scientific and reasonable explanations for the cause of death and precise identification strategies after death.In recent years,with the in-depth researches into anatomy,toxicology and genetics,there has been a deeper understanding of this type of sudden death.This review aims to gather domestic and foreign literature,and introduces the current research status and mechanisms of sudden unexplained death in individuals with mental disorders from perspectives of anatomy,toxicology and genetics,as well as summarizes the forensic appraisal progress,in order to improve the forensic understanding of relevant cases and provide reference for forensic appraisal.

forensic pathologyindividuals with mental disorderssudden unexplained deathantipsychoticscause of death identification

李立亮

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复旦大学 基础医学院,上海 200032

法医病理学 精神障碍者 不明原因猝死 抗精神病药 死因鉴识

国家自然科学基金国家自然科学基金

8207028582322033

2024

中国司法鉴定
司法部司法鉴定科学技术研究所

中国司法鉴定

CSTPCD
影响因子:0.485
ISSN:1671-2072
年,卷(期):2024.(2)
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