目的探讨急性间质性肺炎（acute interstitial pneumonia，AIP）死亡案例的法医学鉴定特点，为AIP死亡病例法医学检验鉴定提供参考。方法回顾性分析27例AIP死亡案例资料。结果27例患者均有“发热、咳嗽”等临床表现，25例患者曾有医疗机构按上呼吸道感染进行治疗的过程，病情仍不断恶化，抢救无效死亡，27例尸检病理诊断为AIP导致急性呼吸功能衰竭死亡。结论 AIP病情发展较快，常导致医疗纠纷，而AIP死亡患者的死因与家属及院方考虑的死因出入较大，及早开展死因鉴定有利于解决纠纷。%Objective To investigate the forensic characteristics of death cases of Acute Interstitial Pneumonia (AIP), so as to provide references for forensic assessment of AIP. Methods The data of 27 AIP death cases were retrospectively analyzed. The data included the population characteristics, toxicology, pathology and causes of death. Results All 27 patients had clinical symptoms including fever, cough and chest tightness, 25 patiens of them were treated as upper respiratory tract infection in local hospital, and finally died of deteriorating condition. The forensic diagnosis after autopsy showed the 27 cases were died of respiratory failure caused by AIP. Conclusion AIP is a disease with rapid progression and often leads to medical disputes,the patient's families often have different opinion on the death cause of patients with the hospital,so forensic identification of the cause of death is conducive to resolve the disputes.
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