Analysis of 21 autopsy cases of aortic dissection with disputes.
- Author:
Song-Min YANG
1
;
Guang-Zheng ZHANG
Author Information
1. Department of Forensic Medicine, College of Basic Medical Science, Zhengzhou University, Zhengzhou 450052, China. songminyang@126.com
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Aortic Dissection/pathology*;
Aorta/pathology*;
Aortic Aneurysm/pathology*;
Autopsy;
Cause of Death;
Diagnostic Errors;
Female;
Forensic Pathology/methods*;
Humans;
Male;
Malpractice/legislation & jurisprudence*;
Middle Aged;
Violence;
Young Adult
- From:
Journal of Forensic Medicine
2012;28(6):432-434
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore procedures and methods of forensic investigation for the death cases of aortic dissection with disputes.
METHODS:Twenty-one death cases of aortic dissection with disputes from 2006 to 2011 were collected. All the data were analyzed to investigate the reasons and features of the disputes.
RESULTS:The main causes of the disputes were clinical misdiagnosis or slight force. The pathologic type of De Bakey (I and II) or Stanford A were common in each case. For the cases dying of aortic dissection, it was significantly important to detect the rupture of entry and exit and observe the dissection of arterial wall.
CONCLUSION:The main causes of clinical misdiagnosis are insufficient experiences, careless observation and curtness in medical treatment. The difficult points in these cases are confirmation of the relationships between injury and disease, the primary affection and complication.
