摘要
随着我国社会经济的不断发展,由过量饮酒导致的一系列疾病的发病率也在逐年升高。酒精性心肌病是指长期大量摄入乙醇,并具有典型的扩张型心肌病的血流动力学变化、症状、体征及影像学特点,同时排除其他能导致扩张型心肌病原因的一种心肌病。因缺乏特异性病理形态学改变,酒精性心肌病的法医病理学鉴定也只能建立在患者的病史和排除其他可导致心肌病原因的基础上。本文就酒精性心肌病的发病机制及法医学鉴定予以综述,以期为法医病理学工作者及临床医生提供参考。
With the rapid development of the social economy in China, the incidence of diseases caused by excessive drinking is gradually increasing as well. Alcoholic cardiomyopathy refers to long-term high intake of ethanol, and has typical dilated cardiomyopathy characteristics, such as, hemodynamic changes, symptoms, signs, and morphological features. It is a kind of cardiomyopathy that excludes other causes of dilated cardiomyopathy. Due to the lack of specific pathological changes, the forensic pathological identification of alcoholic cardiomyopathy can only be based on the patient’s medical history and by ruling out other causes of cardiomyopathy. This paper reviews the pathogenesis and forensic identification of alcoholic cardiomyopathy in order to provide reference for forensic pathologists and clinicians.
作者
张天懿
高卫民
曹志鹏
李福淇
潘颖
王金宝
陶祚
薛嘉嘉
贾宇晴
王天琦
朱宝利
ZHANG Tian-yi;GAO Wei-min;CAO Zhi-peng;LI Fu-qi;PAN Ying;WANG Jin-bao;TAO Zuo;XUE Jia-jia;JIA Yu-qing;WANG Tian-qi;ZHU Bao-li(School of Forensic Medicine,China Medical University,Shenyang 110122,China;Taicang Public Security Bureau,Taicang 215400,Jiangsu Province,China;The Third Clinical Department,China Medical University,Shenyang 110122,China)
出处
《法医学杂志》
CAS
CSCD
2019年第6期721-725,共5页
Journal of Forensic Medicine
基金
辽宁省科技厅自然科学基金面上资助项目(20180530004)
辽宁省大学生创新创业训练计划资助项目(201810159197,201910159102)
关键词
法医病理学
心肌病
酒精性
综述
forensic pathology
myocardiopathy,alcoholic
review
