Forensic Analysis of 33 Cases of Fatal Pulmonary Thromboembolism
10.3969/j.issn.1004-5619.2015.05.008
- VernacularTitle:33例肺动脉血栓栓塞死亡的法医学分析
- Author:
Jie SUN
;
Jianhua ZHANG
;
Donghua ZOU
;
Yijiu CHEN
- Publication Type:Journal Article
- Keywords:
forensic pathology;
pulm onary artery;
throm boem bolism;
cases analysis
- From:
Journal of Forensic Medicine
2015;(5):361-365
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the related risk facts of pulm onary throm boem bolism (PTE ) and analyze the relation betw een PTE and the traum a or m edical behavior by investigating the cases of PTE . Methods Thirty-three cases w ere selected from Institute of Forensic Science (IFS) from 2000 to 2014. Results In 33 cases, 16 decedents w ere m ale, 17 decedents w ere fem ale;different degrees of dyspnea, chest tight-ness and syncope sym ptom s w ere the clinical m anifestation of the deceased; the throm bus w as mainly distributed in the left and right pulm onary arteries. The main source of em bolism w as the deep vein of low er lim b and the left probability w as higher. Traum a, lim ited position, operation and cardiovascular disease show ed high-risk factors of PTE; D-D im er test, hem olytic test and com puter tom ography pul-m onary angiography w ere the diagnostic tools for PTE . In som e cases, traum a and m edical m alpractice could be involved in the cause of death. Conclusion N on-typical clinical sym ptom s present in the m ost cases caused by PTE , and these cases alw ays show m any high-risk factors. The relation betw een PTE and injury or m edical behavior should be considered carefully in the forensic pathological practice.
