第六章猝死ppt课件
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- 2. Diphtheria, influenza, pneumonias and other acute infective conditions 白喉、流感、肺炎及各种感染
- 3. Air embolism 空气栓塞
- 4. Edema glottis 喉水肿
- 5. Pulmonary edema 肺水肿
Thus , by definition sudden deaths are mostly natural deaths where deaths occur immediately or within 24 hours of the onset of the terminal symptoms, which may be totally different from the symptoms, which the patients were having so long.
Baidu Nhomakorabea
二、猝死的特点：
1、急速性死亡：WHO: 24h；1h～2h； 即时死（instantaneous death)。
2、意外性死亡:突然，出人意料，令人 怀疑，可疑暴力死。
3、自然性死亡: natural death，nonviolent death
三、猝死的原因
各个系统疾病均可引起猝死，其中在成 人以心血管系统疾病占首位,其次为中枢 神经系统疾病和呼吸系统疾病，消化系 统、泌尿系统、生殖系统和内分泌系统 等疾病相对较少。
不同年龄组引起猝死的常见疾病也有差 异，如婴幼儿以呼吸系统疾病最为常见; 而青壮年以后则以心血管系统疾病为主。
1.心血管系统疾病导致猝死
冠心病 高血压性心脏病 肥厚性心肌病 Marfans综合症 心肌炎 细菌性心内膜炎 心脏传导系统疾病
52.23% 4.00 % 5.70 % 0.50 % 5.10 % 3.60 % 2.60 %
- 6. Pleural effusion and collapse of the lungs 胸腔积液和肺萎陷
- 7. Foreign body in the respiratory passage 呼吸道内异物
- 8. Lungs abscess, neoplasm and other causes. 肺脓肿、肿瘤及其他原因
– 心肌和心脏血管的退行性变
– 6. Infective conditions of the heart – 心脏的感染性疾病
Among the respiratory causes, the followings are important-
- 1. Haemoptysis of different origin 各种原因的咯血
The definition does not essentially exclude or rule out deaths due to means other than natural diseases, but no unnatural causes should be apparent. If the cause is diagnosed or known to be unnatural one, it can’t be termed as sudden death.
第七章 猝死
sudden death
一、猝死的概念
猝死（sudden death）是指一个貌视 健康的人，由于潜在的疾病或机能障碍， 发生突然的、出人意外的非暴力死亡。 即急速、意外的自然性死亡（sudden unexpected natural death）。
指貌似健康者，因内在疾病发作或恶化而 发生的急骤死亡。
正常的冠状动脉
The lumen is large, without any narrowing by atheromatous plaque. The muscular arterial wall is of normal proportion.
冠状动脉严重狭窄的镜下观
There is a severe degree of narrowing in this coronary artery. It is "complex" in that there is a large area of calcification on the lower right, which appears bluish on this H&E stain. Complex atheroma have calcification, thrombosis, or hemorrhage.
Sudden death
Sudden death is a death which is not known to have been caused by any trauma, poisoning or violent asphyxia, and where death occurs all on a sudden or within 24 hours of the onset of the terminal symptoms.
肥厚性心肌病引起猝死
病毒性心肌炎引起猝死
Viral Carditis
Among the cardiac causes, the most frequent are– 1. Coronary artery atheroma，Coronary thrombosis and myocardial infarction.冠状动脉粥样硬化、栓塞 和心肌梗死
– 2. Stenosis and insufficiency of valves.瓣膜狭窄和关 闭不全
– 3. Congenital heart diseases. – 先天性心脏病
– 4. Acute and constrictive pericarditis. – 急性缩窄性心包炎
– 5. Degenerative conditions of heart and heart vasculatures
- 3. Air embolism 空气栓塞
- 4. Edema glottis 喉水肿
- 5. Pulmonary edema 肺水肿
Thus , by definition sudden deaths are mostly natural deaths where deaths occur immediately or within 24 hours of the onset of the terminal symptoms, which may be totally different from the symptoms, which the patients were having so long.
Baidu Nhomakorabea
二、猝死的特点：
1、急速性死亡：WHO: 24h；1h～2h； 即时死（instantaneous death)。
2、意外性死亡:突然，出人意料，令人 怀疑，可疑暴力死。
3、自然性死亡: natural death，nonviolent death
三、猝死的原因
各个系统疾病均可引起猝死，其中在成 人以心血管系统疾病占首位,其次为中枢 神经系统疾病和呼吸系统疾病，消化系 统、泌尿系统、生殖系统和内分泌系统 等疾病相对较少。
不同年龄组引起猝死的常见疾病也有差 异，如婴幼儿以呼吸系统疾病最为常见; 而青壮年以后则以心血管系统疾病为主。
1.心血管系统疾病导致猝死
冠心病 高血压性心脏病 肥厚性心肌病 Marfans综合症 心肌炎 细菌性心内膜炎 心脏传导系统疾病
52.23% 4.00 % 5.70 % 0.50 % 5.10 % 3.60 % 2.60 %
- 6. Pleural effusion and collapse of the lungs 胸腔积液和肺萎陷
- 7. Foreign body in the respiratory passage 呼吸道内异物
- 8. Lungs abscess, neoplasm and other causes. 肺脓肿、肿瘤及其他原因
– 心肌和心脏血管的退行性变
– 6. Infective conditions of the heart – 心脏的感染性疾病
Among the respiratory causes, the followings are important-
- 1. Haemoptysis of different origin 各种原因的咯血
The definition does not essentially exclude or rule out deaths due to means other than natural diseases, but no unnatural causes should be apparent. If the cause is diagnosed or known to be unnatural one, it can’t be termed as sudden death.
第七章 猝死
sudden death
一、猝死的概念
猝死（sudden death）是指一个貌视 健康的人，由于潜在的疾病或机能障碍， 发生突然的、出人意外的非暴力死亡。 即急速、意外的自然性死亡（sudden unexpected natural death）。
指貌似健康者，因内在疾病发作或恶化而 发生的急骤死亡。
正常的冠状动脉
The lumen is large, without any narrowing by atheromatous plaque. The muscular arterial wall is of normal proportion.
冠状动脉严重狭窄的镜下观
There is a severe degree of narrowing in this coronary artery. It is "complex" in that there is a large area of calcification on the lower right, which appears bluish on this H&E stain. Complex atheroma have calcification, thrombosis, or hemorrhage.
Sudden death
Sudden death is a death which is not known to have been caused by any trauma, poisoning or violent asphyxia, and where death occurs all on a sudden or within 24 hours of the onset of the terminal symptoms.
肥厚性心肌病引起猝死
病毒性心肌炎引起猝死
Viral Carditis
Among the cardiac causes, the most frequent are– 1. Coronary artery atheroma，Coronary thrombosis and myocardial infarction.冠状动脉粥样硬化、栓塞 和心肌梗死
– 2. Stenosis and insufficiency of valves.瓣膜狭窄和关 闭不全
– 3. Congenital heart diseases. – 先天性心脏病
– 4. Acute and constrictive pericarditis. – 急性缩窄性心包炎
– 5. Degenerative conditions of heart and heart vasculatures