【摘要】：【目的】 猝死(sudden death, SD)是凡屬未能預(yù)期的、非創(chuàng)傷的、非自殺性的突然死亡。本文探討影響SD發(fā)生的原因、特點(diǎn)、不明原因死亡的疾病分布、性別、年齡、民族、職別、日變異性及季節(jié)變異性等各項(xiàng)因素,為延邊地區(qū)基層醫(yī)院能夠快速、準(zhǔn)確診斷和防治SD發(fā)生以及對(duì)SD的全面認(rèn)識(shí)提供必要的科學(xué)的理論依據(jù)。 【方法】 本文通過(guò)收集延邊大學(xué)醫(yī)學(xué)院病理學(xué)教研室自1950—2005年間尸檢資料1556例,對(duì)其中126猝死病例的病因、特點(diǎn)、不明原因死亡的疾病分布、性別、年齡、民族、職別、日變異性和季節(jié)變異性等進(jìn)行回顧性統(tǒng)計(jì)分析。 【結(jié)果】 結(jié)果表明,猝死病例126例,其中心血管系統(tǒng)疾病占首位56例,其次為消化系統(tǒng),中樞神經(jīng)系統(tǒng)。經(jīng)分析:男性病例(76.98%)明顯多于女性病例(23.12%),有統(tǒng)計(jì)學(xué)差異(x~2=10.053,P0.05)。朝鮮族與漢族的猝死的檢出率沒(méi)有顯著性差異。36～60歲人群為猝死的高發(fā)人群,其中冠心病性猝死的患者有年輕化的表現(xiàn)。猝死的日變異性高峰在22:00～6:00,季節(jié)變異性高峰在冬季。近年來(lái),消化系統(tǒng)疾病稍多,其中胰腺型猝死有明顯上升的趨勢(shì),這主要是與不良的生活習(xí)慣有密切的關(guān)系,尤其是大量的飲酒是其主要的誘發(fā)原因。從職業(yè)分布上來(lái)看,從事體力勞動(dòng)的人群更容易發(fā)生猝死。
[Abstract]:Objective: sudden death (sudden death, SD) is an unexpected, non-traumatic, non-suicidal sudden death. The causes, characteristics, disease distribution, sex, age, nationality, job type, daily variability and seasonal variability of SD were discussed in this paper. Accurate diagnosis, prevention and treatment of SD and comprehensive understanding of SD provide necessary scientific theoretical basis. [methods] A total of 1556 autopsy cases were collected from the Department of Pathology of Yanbian University from 1950 to 2005. The causes and characteristics of 126 sudden death cases and the distribution of unknown causes of death were analyzed. Gender, age, nationality, job type, daily variability and seasonal variability were analyzed retrospectively. [results] among 126 cases of sudden death, 56 cases were cardiovascular diseases, followed by digestive system and central nervous system. The analysis showed that the number of male cases (76.98%) was significantly higher than that of female cases (23.12%). There was no significant difference in the detection rate of sudden death between Korean nationality and Han nationality. The peak of diurnal variability of sudden death was 22: 00 to 6: 00, and the peak of seasonal variability was in winter. In recent years, there are more diseases of digestive system, especially sudden death of pancreas, which is closely related to bad living habits, especially alcohol consumption is the main cause of sudden death of pancreas. In terms of occupational distribution, people engaged in manual labor are more likely to die of sudden death.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2005
【分類(lèi)號(hào)】：R361

【參考文獻(xiàn)】

相關(guān)期刊論文 前9條

1 王一鏜;提高心肺腦復(fù)蘇成功率之我見(jiàn)[J];北京醫(yī)學(xué);1990年06期

2 李山,蔣一強(qiáng),潘紅波,李志尚;青壯年急死1411例尸檢分析[J];廣東醫(yī)學(xué);2000年05期

3 方圻;冠心病猝死的防治[J];臨床薈萃;1986年02期

4 王子時(shí),鐘巍,李煥更,樊相軍,薛麗,藉濤;心臟性猝死(附31例報(bào)告)[J];臨床誤診誤治;2000年01期

5 趙毅,孫大龍;猝死的日變異性、周變異性和季節(jié)變異性[J];臨床心血管病雜志;2002年06期

6 于維漢;克山病100年——回顧與展望[J];中國(guó)地方病學(xué)雜志;2004年05期

7 夏德義,馮紅旗,王銅,郭玲,徐柏南,李賢一;云南省地方性猝死的臨床分析[J];中國(guó)地方病學(xué)雜志;2004年05期

8 蔡柏薔;提高對(duì)深靜脈血栓形成的認(rèn)識(shí)[J];中華內(nèi)科雜志;2000年08期

9 黃蕾,馮剛;猝死常見(jiàn)危險(xiǎn)因素[J];中國(guó)急救醫(yī)學(xué);2002年03期

，

本文編號(hào)：2398404