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目的 对小脑幕 /大脑镰撕裂出血导致新生儿死亡的病理特点、发生机理和法医学意义进行探讨。 方法 对四川大学华西法医学院 1988年 1月~ 2 0 0 1年期间尸检档案中新生儿死亡案例进行分析。 结果 小脑幕 /大脑镰撕裂出血在新生儿死亡案例中出现率较高 ,可以构成新生儿死亡的独立因素或合并因素。 结论 应重视生产过程中产程处理、分娩方式的选择及技术操作 ,避免和减少新生儿小脑幕 /大脑镰撕裂出血。
Objective To investigate the pathological characteristics, pathogenesis and forensic significance of neonatal death caused by tentorial cerebellar tentorrhagia hemorrhage. Methods The case of neonatal death in autopsy files from January 1988 to 2001 in West China School of Forensic Medicine, Sichuan University was analyzed. Results The cerebellar tentorrhagia tear had a higher incidence of neonatal deaths and could constitute an independent or co-morbid factor of neonatal death. Conclusions Should pay attention to the process of production process, delivery mode of choice and technical operation, to avoid and reduce neonatal tentorial / cerebral falx tear.