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目的为了正确评价29例尸检病例在云南不明原因猝死本质认识和病因研究中的病理学意义,为今后选择猝死病例尸检提供临床流行病学指标。方法采用流行病学回顾调查方法对29例尸检病例进行了个案调查。结果用发病时间、发病年龄、流行强度、从发病到猝死的时间、与首发病例相距的死亡时间等指标,可以把云南不明原因猝死与其他原因引起的猝死区别开来。结论具有“发病时间和发病人群高度集中”以及“突然发病、突然死亡”等发病特点的云南不明原因猝死,其疾病本质是急性心肌炎。
Objective To correctly evaluate the pathological significance of 29 cases of autopsy in the understanding of the causes of sudden death of unknown cause in Yunnan and provide the clinical epidemiological indexes for the future autopsy of sudden death cases. Methods A total of 29 autopsy cases were investigated by epidemiological investigation. Results The incidence of sudden death in Yunnan Province can be distinguished from other causes of sudden death by the time of onset, the age at onset, the intensity of epidemic, the time from onset to sudden death, and the time to death from the first case. Conclusions There is sudden death of unknown origin in Yunnan Province with the characteristics of “the time of onset and the high concentration of pathogens” and the sudden onset of sudden onset and sudden onset of disease. The nature of the disease is acute myocarditis.