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目的通过法医尸检,探讨死因分布规律及损伤与疾病的相互关系。方法对118例死因不明或有争议的尸体进行系统的解剖并做组织病理学检查,部分做法医毒化分析。结果 118例尸检中病理性死亡86例,其中心血管疾病居首位,其他依次为神经系统疾病、产科疾病、呼吸系统疾病和消化系统疾病,原因不明4例;外力致死32例,其中机械性损伤23例,机械性窒息5例,其他4例。结论系统的尸体解剖,准确的死因分析有利于提高医院的诊疗水平,有利于有关部门调解、处理医疗纠纷,有助于民事、刑事案件的公正解决。
Objective To pass the forensic autopsy to explore the distribution of the cause of death and the relationship between injury and disease. Methods A total of 118 cases of unknown or controversial cadavers were systematically dissected and histopathologically examined, and some were analyzed by forensic toxicology. Results There were 86 pathological deaths in 118 autopsy cases, of which cardiovascular disease ranked first, followed by neurological diseases, obstetric diseases, respiratory diseases and digestive diseases in 4 cases. There were 32 cases with unknown external causes, of which mechanical 23 cases of injury, 5 cases of mechanical asphyxia, the other 4 cases. Conclusions The systematic autopsy and accurate analysis of the cause of death are helpful to improve the diagnosis and treatment of the hospital, facilitate the relevant departments to mediate and handle medical disputes, and contribute to the fair resolution of civil and criminal cases.