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首页> 外文期刊>Medicine, science, and the law >Blow/trauma to the chest and sudden cardiac death: Commotio cordis and contusio cordis are leading causes
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Blow/trauma to the chest and sudden cardiac death: Commotio cordis and contusio cordis are leading causes

机译:对胸部和突然心脏死亡的吹/创伤:Cormotio Cordis和Contusio Cordis是主要的原因

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Background In forensic practice, a blow to the chest can lead to sudden cardiac death (SCD). Commotio cordis and contusio cordis are leading causes. Methods From a database of 4678 patients who suffered from SCD, we found three patients with commotio cordis and two patients with contusio cordis. All the patients were examined macroscopically and microscopically and had negative toxicology screen. Results The three patients who died due to commotio cordis were young males (16, 23 and 38 years old). The circumstances of death were: a blow to the chest by a football, by a friend during a party and during an assault. The hearts were completely normal at autopsy. The two patients who had contusio cordis were older males (42 and 63 years old). Both patients died during traffic accidents. At autopsy, one had significant contusion over the left ventricle, and the second had contusion over the right ventricle. Conclusion This study indicates that a blow to the chest is very important to document in the circumstances of death, and a detailed history is vital. It raises the left ventricular intra-cavitary pressure, leading to commotio cordis with immediate death with a normal heart. Blunt chest trauma can cause direct myocardial lesions, with acute changes leading to contusio cordis.
机译:背景技术在法医实践中,对胸部的打击可能导致突然的心脏死亡(SCD)。 Commotio Cordis和Contusio Cordis是主要的原因。方法来自SCD的4678名患者,我们发现了三名伴有Cordis和两名患有Contusio Cordis患者的患者。所有患者均在宏观上和显微镜检查并具有阴性毒理学筛选。结果由于CORDIO CORDIO因德里氏狼疮而死亡的三名患者是年轻男性(16,23和38岁)。死亡的情况是:在派对和攻击期间,一位朋友对胸部的胸部打击。心脏在尸检时心脏完全正常。患有Contusio Cordis的两名患者是较老的男性(42和63岁)。两名患者在交通事故期间死亡。在尸检时,一个人对左心室有显着的挫伤,第二个对右心室挫伤。结论这项研究表明,在死亡情况下对胸部的打击非常重要,并且详细的历史至关重要。它提高了左心室内压力,导致Cordis与正常心脏直接死亡。钝胸创伤会导致直接心肌病变,急性变化导致Contusio Cordis。

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