Is pathological autopsy always useful for reevaluation of the cause of sudden cardiac arrest?
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概要
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The subjects of this study were 24 cases of DOA brought to the emergency room. Autopsy was performed to determine the cause of cardiac arrest, and the pathological diagnosis was compared with the clinical diagnosis. The clinical diagnoses in the 24 cases were acute heart failure (14 cases), acute respiratory failure (4 cases), dissecting aneurysm (3 cases), melena (1 case), cerebral hemorrhage (1 case), and hypothyroidism (1 case). The pathological diagnoses of the cause of cardiac arrest were acute myocardial infarction (9 cases), dissecting aneurysm (4 cases), respiratory disorders (3 cases), aspiration pneumonia (2 cases), and other (6 cases). Comparison of the clinical and pathological diagnoses revealed 6 cases in which the clinical diagnosis was different from pathological diagnosis. The cause of cardiac arrest in 11 cases was revealed at autopsy, and the clinical diagnosis was the same as the pathological diagnosis in 7 cases. Although there was a high rate of consistency between the diagnoses in dissecting aneurysm and respiratory disorders, autopsy was found to be more useful for determining the cause of cardiac arrest in 17 cases (71% of all cases). In this study, 14 cases of acute cardiac failure were diagnosed without a clear certification. These cases apeared to require diagnosis taking into account autopsy findings, past history and clinical finding as a whole, since autopsies are limited as a means of determining the cause of cardiac arrest.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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