法医学杂志Issue(3)：206-210,5.DOI:10.3969/j.issn.1004-5619.2015.03.009
59例过敏反应死亡案例分析
Analysis of 59 Anaphylactic Death Cases
李正东 1刘宁国 1赵子琴 2沈忆文 2陈忆九1
作者信息
- 1. 司法部司法鉴定科学技术研究所 上海市法医学重点实验室，上海 200063
- 2. 复旦大学上海医学院法医学系，上海 200032
- 折叠
摘要
Abstract
Objective To analyze the cases of anaphylactic death cases and explore the standards of judi-cial expertise of anaphylactic death for providing evidence for judicial expertise. Methods Fifty-nine cas-es death due to allergic reaction in Shanghai were collected. And details of medical history, clinical manifestation of anaphylactic reaction and postm ortem exam ination findings were review ed for all cases. Results In the 59 cases, there were 58 cases died from drug allergy, including 77.6% of them were an-tibiotics. The rates of treating in standard hospital and illegal clinic were 37.3% and 61.0%, respectively. The allergic sym ptom s were dyspnea and facial cyanosis. The time from contacting allergens to death ranged from 1 m in to 3 d. The concentration of total serum IgE ranged from 50 to 576.92 IU/m L . The results of clinical manifestation and pathological anatomy had obviously changes. Conclusion B ased on the exclusion of all other cause of death and synthetically analysis of details of cases, medical history, clinical manifestation and anatomy, the conclusion of anaphylactic death can reached. The details of cas-es including clinical history, exposure to allergens, and clinical manifestation play an im portant role in diagnosis of anaphylactic death.关键词
法医病理学/死亡/过敏反应Key words
forensic pathology/death/allergic reaction分类
社会科学引用本文复制引用
李正东,刘宁国,赵子琴,沈忆文,陈忆九..59例过敏反应死亡案例分析[J].法医学杂志,2015,(3):206-210,5.
