An Investigation of the Sudden Unexpected Death in the Southern Taiwan
Yin, Hsin- Ling
|Keywords:||突然非預期死亡;蜘蛛網膜下出血;急性消化胃腸道出血;感染;急性心肌梗塞;冠狀;動脈疾病;Sudden unexpected death;Subarachnoid hemorrhage;Uppergastrointestinal tract hemorrhage;Infection;Acutemyocardial infarction;Coronary artery disease||Issue Date:||2007||Abstract:||
In judicial viewpoint, unnatural death is a form of unusual death that should be investigated, especially in an acute unexpected condition. However, there is no such study in Taiwan. This is a retrospective study to review the final result of the medicolegal autopsy cases of sudden unexpected death in the Southern Taiwan in the Pingtung and Kaohsiung Local District Court Prosecutor’s Office. From May 1998 to June 2000 at the Pingtung Local District Court Prosecutor’s Office and from July 2000 to February 2004 at the Kaohsiung Local District Court Prosecutor’s Office. All the autopsy records performed by the forensic pathologists and the death certificate of all the decedent were reviewed. All the procedure had followed the autopsy guidelines stated by the Institute of Forensic Medicine, Ministry of Justice, Taiwan. The criteria of sudden unexpected death was: (1)eye-witness persons being alive within last 12 hours; (2)inability in explanation of natural or accidental death after scene investigation: (3) performed comprehensive forensic autopsy and (4) full forensic toxicological analysis. A total of 180 cases were enrolled finally. They were 126 men and 54 women. All were residents in the Southern Taiwan, except one case was a foreigner from Thailand. Their age ranged from birth to 83 years. Peak was seen at 25-44 years (42.2%) and 45-64 years (26.1%), hospital (55.0%) is the
most common site of death scene. The most frequent targets of sudden unexpected death in consequence were cardiovascular system, neurological system, respiratory system and alimentary tract. Subarachnoid hemorrhage was the single leading cause of death, followed by acute upper gastrointestinal bleeding and acute myocardial infarction. Subarachnoid hemorrhage and acute upper gastrointestinal bleeding were the leading causes in 25-44 years persons, whereas cardiovascular diseases in 45-64 years persons. A high frequency of subarachnoid hemorrhage and upper gastrointestinal hemorrhage in young and middle age in our series might reflect a specific disease pattern in Southern Taiwan. In addition, infection, that was a major cause of death in children and young people should not be neglected.
|Appears in Collections:||醫學系|
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