Clinical Pathology Of Sudden Death: An Analysis Of 106 Cases In Hunan Province

Objectives To summarize the rules and characteristics of the occurrence of sudden death,and provide evidences for further research and help prevention of such happenings,we have analyzed 106 cases of sudden deaths in terms of clinical pathology in Hunan province.Methods1.All 106 cases of sudden deaths(2004-2008) obtained from Hunan Forensic Science Center were analyzed by means of clinical pathology after autopsy(86 males and 20 females).There were 95 cases of whole autopsy and 11 cases of partial autopsy.All cases were sliced up in HE coloration and embedded in normal paraffins.2.The happening time,inducement,the death factor of sudden death, the change of pathology were analyzed.The correlation between happening time and age were analyzed.3.Statistical data was tested by the system of SPSS11.5.Result1.In the 106 cases,Male:Female was 4.3:1.Age:Sudden death most happened at the age from 41 to 50.The average age of victims of all cases is 42.73.Season:There is no evident relation between the age of the deaths and the different seasons(x~2=6.45,P=0.09),it happened most in spring(37 cases) and least in summer(19 cases). 2.Inducement:61.3 percent of the cases had inducement include rage,strains,movement,drinking,eating,injury and treatment.45 cases (42.5%)were with the inducement of sudden cardiac death,such as rage, strain,movement and treatment.8 cases were cerebrovascular disease (7.5%):2 cases with drinking,2 cases with strains.And 41 cases(38.7%) had no clear inducement.3.Pathogeny:The pathogeny were mainly distributed in cardiovascular system(68%),central nervous system(17%),digestive system(2.8%),respiratory system(5.7%).Cardiovascular system accounted for 80.5%of coronary heart disease,myocarditis\disease accounted for 12.5 percent,hypertensive heart disease accounting for 1.4%,and cardiac tamponade(ruptured aortic dissection) accounted for 5.6%.Conclusion1.Through the study,we know the incidences in Hunan Province most commonly happen among the middle aged men in spring.2.Sudden cardiac death is the most common cause,and therefore the prevention of cardiovascular disease plays a key role in the intervention of sudden death.