Open Access Article
International Journal of Clinical Research. 2024; 8: (12) ; 10-12 ; DOI: 10.12208/j.ijcr.20240502.
A case of death caused by iatrogenic pulmonary aorta rupture
医源性肺主动脉破裂致死1例
作者：
刘晓亮1,
王卫群2,
肖毅霖1,
罗方1,
孙宇宁3 *
1 江西中正司法鉴定中心 江西南昌
2 兰溪市公安局刑事科学技术室 浙江兰溪
3 广东省普宁市公安局刑侦大队 广东普宁
*通讯作者：
孙宇宁,单位： 广东省普宁市公安局刑侦大队 广东普宁；
发布时间: 2024-12-16 总浏览量: 72
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摘要
本案例涉及一名43岁男性患者因胸腔积液接受胸腔穿刺置管术时发生医源性肺主动脉破裂，最终导致死亡。患者在入院治疗过程中出现胸腔积液加重，术中意外发生穿刺点肿胀，随即出现呼吸困难、意识丧失等症状，抢救无效后宣告死亡。法医学检验结果显示，肺主动脉破裂与粥样硬化病变有关，破裂口导致大量出血，引发急性循环与呼吸衰竭。此案强调了医疗操作中的风险与基础疾病的影响，并突出了法医学鉴定在确定死因中的重要作用。
关键词： 胸腔穿刺；肺主动脉破裂；法医病理学鉴定；医源性损伤
Abstract
This case involves a 43 year old male patient who suffered iatrogenic pulmonary aortic rupture during thoracentesis and catheterization due to pleural effusion, ultimately leading to death. The patient experienced worsening pleural effusion during hospitalization, unexpected swelling of the puncture site during surgery, followed by symptoms such as difficulty breathing and loss of consciousness. After unsuccessful rescue efforts, the patient was declared dead. The results of forensic examination showed that the rupture of the pulmonary aorta was related to atherosclerotic lesions, and the rupture led to massive bleeding, leading to acute circulatory and respiratory failure. This case emphasizes the impact of risks and underlying diseases in medical procedures, and highlights the important role of forensic identification in determining the cause of death.
Key words： Thoracentesis; Pulmonary aorta rupture; Forensic pathology identification; Iatrogenic injury
参考文献 References
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引用本文
刘晓亮, 王卫群, 肖毅霖, 罗方, 孙宇宁, 医源性肺主动脉破裂致死1例[J]. 国际临床研究杂志, 2024; 8: (12) : 10-12.