法医学杂志
法醫學雜誌
법의학잡지
Journal of Forensic Medicine
2015年
5期
377-380
,共4页
周小伟%王云云%Anandas S%袁如霞%李浩然%朱少华
週小偉%王雲雲%Anandas S%袁如霞%李浩然%硃少華
주소위%왕운운%Anandas S%원여하%리호연%주소화
法医病理学%心肌疾病%综述文献类型%应激
法醫病理學%心肌疾病%綜述文獻類型%應激
법의병이학%심기질병%종술문헌류형%응격
forensic pathology%cardiom yopathies%review [publication type]%stress
应激性心肌病是一种由情绪或躯体应激诱发的非典型性心肌病,以左心室收缩功能障碍、影像学检查与心电图呈一过性改变为特点,严重者可发生猝死,其症状与急性心肌梗死相似,确切病理机制尚不清楚。本文结合国内外文献对该病的临床表现、流行病学特征、心电图及影像学检查及实验室检查进行综述,以期为法医病理学诊断提供帮助。
應激性心肌病是一種由情緒或軀體應激誘髮的非典型性心肌病,以左心室收縮功能障礙、影像學檢查與心電圖呈一過性改變為特點,嚴重者可髮生猝死,其癥狀與急性心肌梗死相似,確切病理機製尚不清楚。本文結閤國內外文獻對該病的臨床錶現、流行病學特徵、心電圖及影像學檢查及實驗室檢查進行綜述,以期為法醫病理學診斷提供幫助。
응격성심기병시일충유정서혹구체응격유발적비전형성심기병,이좌심실수축공능장애、영상학검사여심전도정일과성개변위특점,엄중자가발생졸사,기증상여급성심기경사상사,학절병리궤제상불청초。본문결합국내외문헌대해병적림상표현、류행병학특정、심전도급영상학검사급실험실검사진행종술,이기위법의병이학진단제공방조。
Stress cardiom yopathy is an atypical myocardial disease induced by em otional or physical stress, w ith the characteristic of left ventricular systolic dysfunction, transient im aging and electrocardio-gram (ECG ) changes. Sudden cardiac death can occur in severe cases. Clinical sym ptom s are likely to appear on acute myocardial infarction, but the exact pathological m echanism is unclear. In the present study, w e perform a system atic review of the literature on the clinical m anifestations, epidem iological characteristics, ECG , im aging and laboratory tests of stress cardiom yopathy, in order to provide the val-ues for forensic pathology diagnosis.