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目的:探讨高原急性出血坏死性肠炎猝死的临床病理改变。方法:对4例高原急性出血坏死性肠炎进行系统尸检,对全身脏器进行病理组织观察。结果:高原急性出血坏死性肠炎表现为肠管出血、坏死;病变以空肠下段和回肠上段最多见,可累及结肠、十二指肠。病变呈节段性。结论:感染性休克、DIC、肠麻痹是高原出血坏死性肠炎猝死的主要原因。变态反应、肺水肿与死亡有一定的因果关系。
Objective: To investigate the clinicopathological changes of sudden death from acute hemorrhagic necrotizing enteritis in plateau. Methods: 4 cases of acute hemorrhagic necrotizing enteritis in autopsy were systematically autopsy, and pathological tissues of the whole body were observed. Results: Acute hemorrhagic necrotizing enteritis in the plateau showed intestinal bleeding and necrosis. The lesions were found mostly in the lower jejunum and the upper ileum, which could affect the colon and duodenum. Lesions were segmental. Conclusions: Septic shock, DIC and intestinal paralysis are the main causes of sudden death of hemorrhagic necrotizing enteritis in altitude sickness. Allergies, pulmonary edema and death have a certain causal relationship.