电邮这篇文章 根据莫斯科市卫生局法医鉴定局的数据，患有结缔组织发育不良症的青壮年猝死的法医特征
- 作者: Barinov E.K.1,2, Shigeev S.V.3, Kislov M.A.4, Globa I.V.5, Velenko P.S.5, Romanova O.L.2,6, Bychkov A.A.3,5, Gritsenko E.A.5, Gruhovskiy S.V.3, Novikov E.M.7
-
隶属关系:
- Russian University of Medicine
- Peoples' Friendship University of Russia
- Bureau of Forensic Medical Expertise
- The Russian National Research Medical University named after N.I. Pirogov
- The First Sechenov Moscow State Medical University (Sechenov University)
- Avtsyn Research Institute of Human Morphology of Federal state budgetary scientific institution "Petrovsky National Research Centre of Surgery"
- Medincenter ― branch Main Administration for Service to the Diplomatic Corps
- 期: 卷 10, 编号 2 (2024)
- 页面: 201-209
- 栏目: 原创研究
- ##submission.dateSubmitted##: 02.10.2023
- ##submission.dateAccepted##: 22.01.2024
- ##submission.datePublished##: 24.05.2024
- URL: https://for-medex.ru/jour/article/view/15397
- DOI: https://doi.org/10.17816/fm15397
- ID: 15397
如何引用文章
开放存取
##reader.subscriptionAccessGranted##
详细
论证。猝死是现代公共医疗保健的一个紧迫问题，在俄罗斯联邦的发病率中处于领先地位。由于猝死的原因繁多且数据匮乏，因此尸检时很难诊断和解释病理变化。
研究目的是根据莫斯科市卫生局法医鉴定局的法医尸检数据，对患有结缔组织发育不良症的青壮年猝死病例进行法医鉴定。
材料和方法。在莫斯科市卫生局法医鉴定局的基础上，对 2011-2016 年对 48 例 18 至 44 岁年轻人猝死病例进行了抽样调查。详细研究了事故现场的尸体检查报告和医疗文件；对尸体的外部和内部检查进行了详细描述；提取了用于组织学和免疫组化研究的材料。
结果。年轻人猝死的主要原因是心血管系统病变。在一些死亡病例中，发现了具有以下特征的虚弱型体质：身材高大、胸部细长、上腹角锐利、皮下脂肪组织薄弱、体重低于正常年龄、肩部狭窄。胸骨、脊柱、四肢、牙齿状况和内脏器官均出现病理变化，符合结缔组织发育不良的特征。我们注意到，年轻人猝死与在极端因素（体力负荷、心理情绪压力和传染病）背景下出现的骨骼萎缩病之间存在相关性。在大多数年轻人猝死病例中，都诊断出了病理性血管病变。
结论。需要开发一种现代综合科学方法，用于评估青壮年猝死的病理形态学变化。
全文:
作者简介
Evgeny Kh. Barinov
Russian University of Medicine; Peoples' Friendship University of Russia
Email: ev.barinov@mail.ru
ORCID iD: 0000-0003-4236-4219
SPIN 代码: 2112-4568
MD, Dr. Sci (Med.), Professor
俄罗斯联邦, Moscow; MoscowSergey V. Shigeev
Bureau of Forensic Medical Expertise
Email: Shigeev@mail.ru
ORCID iD: 0000-0003-2219-5315
SPIN 代码: 3116-2928
MD, Dr. Sci. (Med.)
俄罗斯联邦, MoscowMaksim A. Kislov
The Russian National Research Medical University named after N.I. Pirogov
Email: smedik@gmail.com
ORCID iD: 0000-0002-9303-7640
SPIN 代码: 3620-8930
MD, Dr. Sci. (Med), Assistant Professor
俄罗斯联邦, MoscowIrina V. Globa
The First Sechenov Moscow State Medical University (Sechenov University)
编辑信件的主要联系方式.
Email: ig_92@mail.ru
ORCID iD: 0000-0002-7185-4324
SPIN 代码: 3976-6782
MD, Cand. Sci. (Med.)
俄罗斯联邦, MoscowPavel S. Velenko
The First Sechenov Moscow State Medical University (Sechenov University)
Email: velenko_p_s_1@staff.sechenov.ru
ORCID iD: 0000-0003-2800-1454
SPIN 代码: 6649-3580
MD, Cand. Sci. (Med.), Assistant Professor
俄罗斯联邦, MoscowOlga L. Romanova
Peoples' Friendship University of Russia; Avtsyn Research Institute of Human Morphology of Federal state budgetary scientific institution "Petrovsky National Research Centre of Surgery"
Email: romanova-ol@rudn.ru
ORCID iD: 0000-0001-6356-9251
SPIN 代码: 6727-9170
Cand. Sci. (Biol.), Assistant Professor
俄罗斯联邦, Moscow; MoscowAlexey A. Bychkov
Bureau of Forensic Medical Expertise; The First Sechenov Moscow State Medical University (Sechenov University)
Email: bychkov_a_a@staff.sechenov.ru
ORCID iD: 0000-0001-6741-6498
SPIN 代码: 4042-7275
MD, Cand. Sci. (Med.), Assistant Professor
俄罗斯联邦, Moscow; MoscowElizaveta A. Gritsenko
The First Sechenov Moscow State Medical University (Sechenov University)
Email: mirukawa27@gmail.com
ORCID iD: 0009-0009-8074-6665
俄罗斯联邦, Moscow
Sergey V. Gruhovskiy
Bureau of Forensic Medical Expertise
Email: gruhovskiy@mail.ru
ORCID iD: 0000-0001-9849-7825
SPIN 代码: 7734-4020
MD
俄罗斯联邦, MoscowEgor M. Novikov
Medincenter ― branch Main Administration for Service to the Diplomatic Corps
Email: dr.ENovikov@gmail.com
ORCID iD: 0000-0002-6851-5786
SPIN 代码: 4295-8682
MD, Cand. Sci. (Med.)
俄罗斯联邦, Moscow参考
- Maron BJ, Maron MS, Maurer MS, et al. Cardiovascular diseases that have emerged from the darkness. J Am Heart Association. 2021;10(20):e021095. EDN: HTRZQB doi: 10.1161/JAHA.121.021095
- Klochihina OA, ShprahVV, Stahovskaya LV, et al. An analysis of the long-term stroke morbidity and mortality in the regions of the Russian Federation included in the federal patient assistance reorganization program. S.S. Korsakov J Neurol Psychiatry. 2020;120(12-2):37–41. EDN: GYMLMJ doi: 10.17116/jnevro202012012237
- Skjelland M, Zamani M, Hetlevik S, et al. Increased endothelial activation in patients with mixed connective tissue disease. J Stroke Cerebrovasc Dis. 2020;29(2):104563. doi: 10.1016/j.jstrokecerebrovasdis.2019.104563
- Zemcovskij EV, Timofeev EV, Malev EG. Inherited disorders (dysplasia) of the connective tissue. Which of the two existing national recommendations is preferable? Pediatr. 2017;8(4):6–18. EDN: ZDMAQN doi: 10.17816/PED846-18
- Boot E, Ekker MS, Putaala J, et al. Ischaemic stroke in young adults: A global perspective. J Neurol Neurosurg Psychiatry. 2020;91(4):411–417. EDN: EJFGVJ doi: 10.1136/jnnp-2019-322424
- Bojcov SA, Shahnovich RM, Erlih AD, et al. Registry of acute myocardial infarction. REGION-IM — Russian Registry of Acute Myocardial Infarction. Kardiologiia. 2021;61(6):41–51. EDN: EVBEBV doi: 10.18087/cardio.2021.6.n1595
补充文件
