11例脂肪栓塞法医学鉴定分析
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摘要
目的探讨脂肪栓塞法医学鉴定的思路及注意要点。方法回顾性分析某司法鉴定中心2007年1—12月共计11例脂肪栓塞死亡的案例,观察HE切片及苏丹IV染色切片。结果 11例肺组织内均见大量脂滴,2例脑和其他脏器小血管内见脂滴,肝脂肪变性6例。结论结合案例分析脂肪栓塞栓子来源,临床表现和死亡机制,总结出脂肪栓塞案件鉴定的一些经验和工作思路。
Objective To explore the ideas and key points of forensic identification of fat embolism. Methods A retrospective analysis of 11 cases of fat embolism death from January 2007 to December 2017 in a judicial appraisal center was performed to observe HE sec-tions and Sudan IV staining sections. Results A large number of lipid droplets were found in 11 cases of lung tissue, and 2 cases of lipid droplets and 6 cases of hepatic steatosis were found in 2 cases of brain and other organs. Conclusion Combined with case analy-sis of the source, clinical manifestations and death mechanism of fat embolism embolism, some experiences and working ideas of fat embolization case identification were summarized.
Objective To explore the ideas and key points of forensic identification of fat embolism. Methods A retrospective analysis of 11 cases of fat embolism death from January 2007 to December 2017 in a judicial appraisal center was performed to observe HE sec-tions and Sudan IV staining sections. Results A large number of lipid droplets were found in 11 cases of lung tissue, and 2 cases of lipid droplets and 6 cases of hepatic steatosis were found in 2 cases of brain and other organs. Conclusion Combined with case analy-sis of the source, clinical manifestations and death mechanism of fat embolism embolism, some experiences and working ideas of fat embolization case identification were summarized.
引文
[1]李玉林.病理学[M].北京:人民卫生出版社,2018:57
[2]Fabian TC,Hoots AV,Stanford DS,et al.Fat embolism syndrome:prospective evaluation in 92 fracture patients.Critical Care Medicine[J].1990,18(1):42.
[3]任民.肺栓塞67例临床回顾性分析[J].西北国防医学杂志,2015,36(2):125.
[4]龚志锦,詹镕洲.病理组织制片和染色技术[M].上海:上海科学技术出版社,1994:136
[5]丛斌.法医病理学[M].5版.北京:人民卫生出版社,2016:258.
[6]陈锋锋,胡威,李慎松.114例肺脂肪栓塞的文献分析[J].中华肺部疾病杂志:电子版,2018,11(6):719-720.
[7]罗程,蔡贤华,王威.脂肪栓塞综合征的机制与早期预防研究[J].华南国防医学杂志,2017(3):69-72.
[8]李国良,邵玉铭,丁润涛.81例脂肪栓塞综合征致死法医学分析[J].济宁医学院学报,2018,41(5):352-354.
[9]华群,王华,潘云萍,等.创伤性脂肪栓塞综合征的肺部CT表现和临床意义[J].浙江医学,2018,40(7):764-766.
[10]张月涵.脂肪栓塞综合征的研究进展[J].北京联合大学学报:自然科学版,2018,32(2):40-44.
[2]Fabian TC,Hoots AV,Stanford DS,et al.Fat embolism syndrome:prospective evaluation in 92 fracture patients.Critical Care Medicine[J].1990,18(1):42.
[3]任民.肺栓塞67例临床回顾性分析[J].西北国防医学杂志,2015,36(2):125.
[4]龚志锦,詹镕洲.病理组织制片和染色技术[M].上海:上海科学技术出版社,1994:136
[5]丛斌.法医病理学[M].5版.北京:人民卫生出版社,2016:258.
[6]陈锋锋,胡威,李慎松.114例肺脂肪栓塞的文献分析[J].中华肺部疾病杂志:电子版,2018,11(6):719-720.
[7]罗程,蔡贤华,王威.脂肪栓塞综合征的机制与早期预防研究[J].华南国防医学杂志,2017(3):69-72.
[8]李国良,邵玉铭,丁润涛.81例脂肪栓塞综合征致死法医学分析[J].济宁医学院学报,2018,41(5):352-354.
[9]华群,王华,潘云萍,等.创伤性脂肪栓塞综合征的肺部CT表现和临床意义[J].浙江医学,2018,40(7):764-766.
[10]张月涵.脂肪栓塞综合征的研究进展[J].北京联合大学学报:自然科学版,2018,32(2):40-44.