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外伤性心肌梗塞——法医病理学研究 被引量:5

Forensic Pathological Study of Traumatic Myocardial Infarction in Seven Cases
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摘要 众所周知,心肌梗塞以心脏冠状动脉粥样硬化所致心肌缺血性坏死最多见,然而非粥样硬化性者包括冠状动脉痉挛及心肌缺血再灌流损伤等也不容忽视,尤其外伤性心肌梗塞更应引起充分注意。为此,作者从事本题研究。 Seven examples of traumatic myocardil infarction caused by blunt forceseffecting on the chest described.This study is based on seven cases of foren-sic pathological autopsy in which the clinical history and the pathologicalchanges of traumatic myocardial infarction was confirmed.In five cases of theseven the lesion was not recognised at the time of the blunt trauma but becameclinically important 6 to 27 hours laters,especially after sleeping.As all theseven patients were young(18—35 years old)and had unusual traumatic lesionsthe damage of myocardial infarction could be attributed to the blunt forces onthe chest of patients.This study demonstrated that the myocardial infarction may be caused bythe blunt forces on chest of healthy young men.
作者 李德祥
出处 《法医学杂志》 CAS CSCD 1990年第3期1-5,共5页 Journal of Forensic Medicine
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同被引文献15

  • 1官大威,贾静涛,李德祥.外伤性心肌梗塞[J].法医学杂志,1994,10(4):162-164. 被引量:7
  • 2周立尧,刘磊,陈爱华.胸部外伤后急性心肌梗死1例[J].岭南心血管病杂志,2006,12(2):152-152. 被引量:4
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  • 6Ismailov RM,Ness RB,Weiss HB,et al.Trauma associated with acute myocardial infarction in a multi-state hospitalized population.Int J Cardiol,2005,105:141-146.
  • 7金惠铭.病理生理学[M](第五版)[M].北京:人民卫生出版社,2003.152.
  • 8Perz JV, Warwick DJ, Case CP, et al. Death after proximal femoral fracture an autopsy study[ J ]. Injury, 1995,26:237.
  • 9Schon H . Traumatisscher Myokardinfarkt [ J ]. schweiz med wschr, 1986,116(7) : 218 -221.
  • 10Ismailov RM, Ness RB, Weiss HB, et al Trauma associated with acute myocardial infarction in a multi - state hospitalized population [J]. Int J Cardiol,2005 ,105 :141 - 146.

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