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8/10/2019 Pathophysiology of Death
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YO[ELYERTBLFLJR LHKAO[E
Ny= kr. Eohso sofogaHlracsbd Yotelfljy ot Mlrkoc Qcbvarsbty El
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[RYAT LH KAO[E
Daffufor kaote = Daffufor kaote gaocs tea dasraspbrotblc (tea Qtbfbzotblc lh lxyjac) ock tea clr
gatonlfbd odtbvbty Bc tea nlky tbssuas ock daffs. D
lh raspbrotblc Bs sllc hlfflwak ny outlfysbs ock k
webde, bh bt Ohhadts tea welfa nlky, bs oc avbkacdaKaote. [ea kbhharacdas bc daffufor gatonlfbsg kat
[ea rota wbte webde daffs kba ock tebs doc na vary
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Axogpfas lc kbhharact favafs lh daffufor kaote=
T`bc ock nlca wbff ragobc gatonlfbdoffy odtbva oc
ofbva hlr gocy elurs ock teasa daffs doc nasuddasshuffy dufturak koys ohtar slgotbd kaote.
Zebta nfllk daffs ora doponfa lh glvagact hlr u
?> elurs ohtar dorkbod orrast
[ea dlrtbdof caurlc, lc tea ltear eock, wbff kba ohlcfy 4: gbcutas lh dlgpfata lxyjac kaprbvotblc.
nlky kbas daff ny daff ock tea dlgpfata prldass g
to`a gocy elurs.
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Tlgotbd kaote
Tlgotbd kaote gaocs teot tea bckbvbkuof wbff cavarojobc dlggucbdota lr bctarodt wbte tea acvbrlcgac
bckbvbkuof bs brravarsbnfyucdlcsdblus ock ucowora
tea wlrfk ock ebs lwc axbstacda. [ea `ay wlrk bc t
kahbcbtblc bs brravarsbnfa, . Avac bh brravarsbnfa
ucdlcsdbluscass eos lddurrak, bh teara dlctbcuas t
splctocalus raspbrotlry glvagacts ock tea eaort
dlctbcuas tl naot, bt bs klunthuf bh tebs wlufk na odda
hufhbffbcj tea drbtarbo lh trua kaote.
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N^OBC KAO[E
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Drbtarbo = [ea potbact gust na bc kaap dlgo oc
traotonfa dousas sude os kaprassoct krujs, ga
lr ackldrbca kbslrkars (kbonatbd lr gyxakago lr eyplteargbo gust na axdfukak.
[ea potbact gust na lc gadeocbdof vactbfotblc
nadousa lh onsact lr bcokaquota splctocalus
raspbrotblc. Caurlgusdufor nfld`bcj ojacts axdfukak os o
plssbnfa dousa lh tea raspbrotlry hobfura.
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o hbrg potelfljbdof kbojclsbs gust na teara. [ea g
dlgglc dousas ora eaok bcmury ock bctrodaranrof
eaglrreojahrlg o rupturak daranrof ocaurysg.
Kbojclstbd tasts hlr nrobcstag kaote gust na
ucaqubvldoffy plsbtbva. [easa tasts selufk na ka
ny twl kldtlrs, praharonfy lca lh welg selufk n
peysbdboc bc deorja lh tea potbact. [ebs peysbdboc
eova naac rajbstarak hlr ot faost 1 yaors ock sel
eok axparbacda lh sude dosas. [ea sadlck, bcka
kldtlr selufk eova sbgbfor axparbacda.
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O dead`fbst lh tea kbojclstbd tasts ock teabr rasufts se
`apt bc tea potbacts cltas ock tea tasts selufk na rap
faost lcda, tea bctarvof natwaac tea tasts kapackbcj l
lpbcblc lh tea kldtlrs Off nrobcstag rahfaxas ora onsact, wbte hbxak kbfotak oc
ucraodtbva pupbfs. Dlrcaof rahfaxas ora onsact.
Bt selufk na cltak teot parsbstacda lh spbcof rahfaxas ora
brrafavoct bc tea kbojclsbs lh nrobcstag kaote.
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Xastbnufl-ldufor rahfaxas ora cajotbvaweac bdak wota
bctrlkudak bctl tea aors.
[eara ora cl gltlr rasplcsas tl pobchuf stbgufb bc ocy
drocbof carvas.
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.
[eara bs cl joj rahfax tl o doteatar pfodak bc tea
ock trodeao. [eara ora cl raspbrotlry glvagacts weac tea po
kbsdlccadtak hrlg tea vactbfotlr wbte oc ortarbof YD
favaf bc axdass lh 19 ggEj os o stbgufus tl nraote
[astbcj gust na parhlrgak wbte o nlky tagparotufass teac 41D tl ovlbk eyplteargbo sbgufotbcj nro
kogoja.
[eara bs cl joj rahfax tl o doteatar pfodak bc tea
ock trodeao. [eara ora cl raspbrotlry glvagacts weac tea po
kbsdlccadtak hrlg tea vactbfotlr wbte oc ortarbof YD
favaf bc axdass lh 19 ggEj os o stbgufus tl nraote
[astbcj gust na parhlrgak wbte o nlky tagparotufass teac 41D tl ovlbk eyplteargbo sbgufotbcj nro
kogoja.
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BCKBDO[L^T LH N^OBC KAO[E
Kaap dlgo Caurlgusdufornfld`bcj ojactsaxdfukak
Gadeocvactbfot
Off nrobcstag rahfaxas oraonsact, wbte hbxak kbfotak ock
ucraodtbva pupbfs. Dlrcaof
rahfaxas ora onsact
Cl gltlrrasplcsas tl
pobchuf stbgufb
Cl joj
cl raspbrotlry glvagacts weactea potbact bs kbsdlccadtak hrlg
tea vactbfotlr
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Kaote
Yutrahodtblc
guggbhbdotblc
okbpldara
dragotblc
Ocbgof prakotlrs
T`afatacbzotblcDlgpfata kbsslfutblc
ucfass hlssbfbzak
Ossbst
Ossbst
Hota lh nka
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YLT[-GL^[AG TBJCT LH KAO[E
Aorfy
Aya deocjas T`bcdeocjas
Gusdfas
Jostrbd
Fota
Ofjlrglrtbs
(dllfbcj)
Fbvlr glrtbs(eyplstosbs
)
^bjlrglrtbs
Xary fota
Kadlgplsbtblc
Deagbdofdeocjas bcnlky hfubks(afadtrlfyta
s)
Bcsadtodtbvbty
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DEOCJAT OH[A^ KAO[E
AO^FR DEOCJAT =
ARA TBJCT =
?. Flss lh tea dlrcaof ock fbjet rahfaxas faokbcj tl bcsacsbtbva dlrcao
ucraodtbva pupbfs.
>. [ea fbjet rahfax bs flst os sllc os tea nrobcstag cudfab suhhar bsdeag
4. [ea pupbfs usuoffy ossuga o gbk kbfotak plsbtblc, webde bs tea rafox
plsbtblc lh tea pupbffory gusdfa, teluje teay goy fotar deocja os o
rbjlr.
;. [ea pupbfsgoy flsa teabr dbrdufor seopa ohtar kaote os o rasuft lh u
rafoxotblc.
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8. [ea ayafbks usuoffy dflsa, nut
tebs bs dlgglcfy bcdlgpfata
:. kbsdlflrotblc lh tea sdfaro
nadlgbcj nrlwc ock teac
slgatbgas ofglst
Nfod`, jbvbcj rbsa tl tea coga
'todea clbra'. - -
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AO^FR DEOCJAT LH KAO[E
[ea gusdfas ropbkfy nadlga hfoddbk(prbgory hfoddbkbty), wbte dlgpfat
tlca
T`bc, dlcmucdtbvoa ock gudlus gagnrocas pofa. [ea s`bc lh tea hoda
fbps goy ragobc rak lr nfua bc dlflr bc eyplxbd/dlcjastbva kaotes. [ea
hlffbdfas kba ot tea soga tbga os tea rast lh tea s`bc
Flss lh gusdfa tlca bc tea spebcdtars goy rasuft bc vlbkbcj lh urbca0
Agbssblc lh sagac bs ofsl hluck bc Tlga kaotes0 tea prasacda lh sa
na usak os oc bckbdotlr lh saxuof odtbvbty selrtfy nahlra kaote.
^ajurjbtotblcbs o vary dlgglc haotura lh targbcof Dlffopsa ock bt bs
dlgpfbdotblc lh rasusdbtotblc.
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YLT[ GL^[AG DEOCJAT
Eyplstosbs= bt lddurs weac tea dbrdufotblc daosas ortarbof, vaclus
dopbffory . Jrovbty teac odts uplc tea clw stojcoct nfllk ock puffs tl tea flwast oddassbnfa oraos. [ea rak daffsora glst ohhadtak tea
fll` os o nfubse rak kbsdlflrotblc, pfosgoofsl krbhts klwcworks fassar axtact, dousbcj oc avactuof plst-glrtag 'kapackact akago',
dlctrbnutas tl tea s`bc nfbstarbcj teot bs port lh aorfy plst-glrtag kad
[ea kbstrbnutblc lh eyplstosbs = tea pottarc lh eyplstosbs kapacktea plstura lh tea nlky ohtar kaote. Glst dlgglcfy nlky bs fybcj lc
nod`, wbte tea selufkars, nuttld`s ock dofvas prassak ojobcst tea
supplrtbcj surhoda sl teot eyplstosbs bs pravactak hrlg hlrgbcj tear
s`bc ragobcbcj webta.
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ERYLT[OTBT ZBFF KBT[^BNQ[A B[TAFH ODDL^KBCJ
YLTB[BLC, OJOBC ZB[E ZEB[A Y^ATTQ^A O^AOT ]LCAT LH TQYYL^[.
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EOCJBCJ
Eyplstosbs wbff na
glst gor`ak bc tea
haat, fajs ock tl
fassar axtact bc tea
eocks ock kbstof
port lh tea orgs
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L[EA^ TB[AT LH ERYLT[OTBT
LXA^ DEAT[ OCK QYYA^ FBGNT HODA KLZC ZB[E ZEB[AC
O^LQCK FBYT OCK CLTA
Krlwcbcj Apbfapsy lr
krbc`ars
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[EA DLFL^ LH ERYLT[OTBT
[ea usuof eua bs o nfubse rak, nut vorbotblc bs wbka kapacks lc tea lxyjacot tbga lh kaote
Eyplxbd stota eovbcj o kor`ar tbct
Zeac kaote eos naac kua tl eyplteargbo lr axplsura tl dlfk sude os krl
dlflr lh eyplstosbs goy na pbc`
[ea nast `clwc bs tea 'dearry pbc` lh dornlxyeoagljflnbc, webde bs o ucb
ock bs lhtac tea hbrst bckbdotblc tl tea potelfljbst lh dornlc glclxbka plbsl
Dyocbka plbslcbcj= bs sobk tl eova bts lwc deorodtarbstbd kor` nfua-pbc`eu
Nut tebs bs oc ucsura bckbdotlr lh tea glka lh kaot
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[BGBCJ LH ERYLT[OTBT
Goy clt oppaor ot off, aspadboffy bc bchocts, lfk palpfa lr telsa wbte ocagbo.
Eyplstosbs doc oppaor wbtebc eofh oc elur lh kaote lr bt goy na kafoyak hlr
Lcda eyplstosbs bs astonfbseak bh tea nlky glvak tea prbgory eyplstosbs go
^agobc hbxak
Dlgpfatafy glvak tl caw kapackact oraos
Lr portboffy stoy hbxak ock portboffy glvak
Tl tebs bs usahuf bc drbga bcvastbjotblcs bh eyplstosbs clt rafotak tl tea plsbtbl
nut tebs bs clt ofwoys usahuf nadousa eyplstosbs wos stbff glnbfa hlr ot faost
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ERYLT[OTBT BC L[EA^ L^JOCT
[ea bgplrtocda bc hlracsbd outlpsy wlr` bs tea kbhharactbotblc lh l
eyplstosbs hrlg octa-glrtag fasblcs.
Bc tea bctastbca, kapackact fllps lh mamucug ock bfaug goy na g
kbsdlflrak ock gbsfaok tea bcaxparbacdak potelfljbst bctl suspad
gasactarbd bchordtblc lr strocjufotblc.
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[ea fucjsofglst ofwoys selw o gor`ak kbhharacda bc dlflr hrnod`, tea octarblr gorjbcs nabcj pofa ock tea plstarblr akjas fy
porovartanrof juttars nabcj kor` nfua. Ofsl dlcjastblc ock aka
glra gor`ak plstarblrfy.
[ea gyldorkbug lhtac selws o kor` potde bc tea plstarblr woff
vactrbdfa teot gust clt na gbsto`ac hlr aorfy bchordtblc.
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KBHHA^AC[BO[BLC NA[ZAAC ERYLT[OTBT OCK N
[ebs bs rorafy o prlnfag bc hrase nlkbas, nut weac kadlgplsbtblc n
Dlckbtblcs nadlga nfurrak.
Nrubsas goy na ocyweara lc tea nlky, ora lhtac kbsdlbklr eova o
gorjbc,
Nut rorafy dlvar o forja orao wbte ucbhlrg kacsbty ock kl clt eova o
gorjbc.
[ea dfossbd tast bs tl bcdbsa tea suspadt orao tl saa bh tea uckarfybc
Bctrovosdufor (eyplstosbs) lr bchbftrotbcj tea tbssuas lutsbka tea vas
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[ea nrubsa wbff clt na ohhadtak ny prassura gor` sude os naft
Eyplstosbs doc na woseak owoy hrlg tea bcdbsak surhoda. O nr
lhtac kaapar bc
[ea s`bc ock hbxak ebstlfljbdof axogbcotblc goy na cadashbcoffy tl kadbka.
Bh outlfysbs eoppacak bt bs ofglst bgplssbnfatl kbhharactb
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ERYLT[OTBT XT. N^QBTAT
Eyplstosbs Nrubsas(Addeyglsbs)
Kapackoct oraos Ocy weara
Zaff kahbcak akjas Bff kahbcak akjas
Nfllk bs ratobcak bc bctodt
dopbfforbas
Nfllk asdopas terluje
rupturak dopbfforbas
Toga favaf lc surhoda ^obsak
Yofa lvar prassura oraos Clt deocja
Bcdbsblc= nfllk hflws hrlg tea
dut vassaf (woseonfa)
Bcdbsblc= nfllk dlojufotas bc
tbssua
Zbte o nrubsa, n
hrlg tea dut
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^BJL^ GL^[BT KAHBCB[BLC= [agparotura-kapackact Yeysbdldeagbdof deocja t
wbtebc gusdfa daffs Os o rasuft lh fod` lh lxyjac. [ea fod` lh lxyjac
[eot acarjy docclt na lntobcak hrlg jfydljac vbo jfudlsa Qsbcj l
pelspelryfotblc ock sl okaclsbca [rbpelspeota (O[Y) prlkudtblc h
prldass daosas Ock tea sadlckory oclxbd prldass to`as lvar hlr o
[bga nut, os fodtbd odbk bs o ny-prlkudt lh oclxbd raspbrotblc, [ea da
dytlpfosg nadlgas bcdraosbcjfy odbkbd. Bc tea hoda lh flw O[Y ock
odbkbty, tea odtbc ock Gylsbc hbnars nbck tljatear ock hlrg o jaf. [e
^asuft lh teasa dlgpfax daffufor gatonlfbd deocjas Bs teot tea gus
nadlga stbhh.
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^BJL^ GL^[BT
[ea hfoddbk parblk bggakbotafy ohtar kaote bs vorbonfa, nut dlgglcfy axta
4 ock 8 elurs
^bjlr bs hbrst opporact bc tea sgoffar gusdfa jrlups,
[ea saquacda lh spraok lh rbjlr bs ofsl vorbonfa nut tacks tl ohhadt teamow
ock cad` nahlra nabcj lnvblus bc tea wrbsts ock oc`fas, teac tea `caas, a
Kapackbcj lc acvbrlcgactof tagparotura Qsuoffy bchocts, tea dodeadtbd ock tea ojak, goy cavarkavaflp radljcbz
^bjlr spraoks tl bcvlfva tea welfa gusdfa goss, raode o goxbgug wbteb
[ea kurotblc lh huff rbjlr goy na ?5-48 elurs
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HOD[L^T OHHAD[BCJ [BGBCJ LH ^BJL^ G
?. [agparotura = dlfk kafoys rbjlr glrtbs ock worgte spaak bt up
>. Yeysbdof odtbvbty selrtfy nahlra kaote = gusdufor axartblc bcdrao
dlctact Lh jfydljac ock O[Ys bc gusdfas ock aceocdas rbjlr
rluje jubka lh rafotblc rbjlr tl tbga lh kao
Bh tea nlky haafs worgock bs hfoddbk, bt eos naac kaok fass teoc
Bh tea nlky haafs worgock bs stbhh, bt eos naac kaok hrlg 4 tl 5 e
Bh tea nlky haafs dlfkock bs stbhh, bt eos naac kaok hrlg 5 tl 48 e
Bh t ea nlky haafs dlfkock bs hfoddbk, bt eos naac kaok glra teo
elurs.
[ebs druka astbgota selufk cavarna usak os o kahbcbtbva
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^BJL^ GL^[BT BC L[EA^ [BTTQAT [T@AFA[OF GQTDFAT
Brbs = rbjlr goyna ucaquof bc nlte ayas , teot go`as tea pupbfs uca
ayas tea plsbtblc lh nlte pupbfs plst glrtag bs ucrafbonfa bckbdolr caurlfljbd dlckbtblc nahlra kaote
Eaort =rbjlr goy go`a tea vactrbdfas tl dlctrodt webde goyna gbs
eypartrlpey, tl kbhharactbota =
gaosura tltof wabjet lh eaort
gaosura tea woff tebd`cass lh v
^bjlr bc aradtlr pbfb gusdfa ottodeak tl eobr hlffbdfas = afavotblc tl d
eobr
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NBLDEAGBT[^R LH ^BJL^ GL^[BTOhtar kaote daffufor raspbrotblc stlppak .O[Y bs cl f
prlvbkak hlr pugps bc ^A^ , sl DO++ kbhhusas hrlg
lh ebjear dlcdactrotblc tl flwar dlcdactrotblc ( gu
sordlgara ) faokbcj tl nbckbcj tl trlplcbc ock drls
nrbkjbcj lddurs natwaac odtbcock gylsbcfaokbcj
gusdfa dlctrodtblc teot stoys tbff nrao`klwc lh gustbssua ny aczygas kurbcj kadlgplsbtblc ..
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DOKOXA^BD TYOTG
KAHBCB[BLC =O rora hlrg lh gusdufor stbhhacbcj teot lddurs ot glgact l
parsbsts bctl tea parblk lh rbjlr glrtbs , ock doc na gbsto`ac wbte bt . usossldbotak wbte vblfact kaote eoppacbcj uckar axtragafy peysbdof dbrdu
wbte bctacsa agltblcs.
[ypbdoffy bt ohhadts dartobc jrlups lh gusdfas sude os hlraorg .
Dosas saac bc krlwcbcj vbdtbgs weac jross , rllts ora dfutdeak prlvbk
avbkacda teot tea vbdtbg wos ofbva ot tbga lh actry tl wotar Bt goy plbcts tl tea fost odtbvbty lca kbk prblr tl kaote . A.j. . Elfkbcj o
go`a us tebc` lh subdbka rotear teoc waoplc pfoctbcj
Lh dlursa tea nlky gust na axogbcak nahlra lrkbcory rbjlr gbjet na ax
eova kavaflpak, lr tea prasacda lh dokovarbd sposg docclt teac na o
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^BJL^ GL^[BT XT DOKOXA^BD TYO
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^BJL^ GL^[BT XT. DOKOXA^BD TYO
^bjlr Glrtbs Dokovarbd Tposg
Lcsat kafoyak ohtar kaote (>-4 ers.).Kurotblc up tl 48 ers.
Lcsat bs bcstoctocalus.Kurotblc bs o haw elurs, uctbf
rbjlr glrtbs.
Bctacsbty dlgporotbvafy glkarota.
Bctacsbty dlgporotbvafy vary
Gadeocbsg lh hlrgotblc= Nrao`klwc lh O[Y
naflw drbtbdof favaf.
prakbsplsbcj hodtlrs= Axdbtag
hotbjua, axeoustblc, carvlus
dlctrodtblc lh Gusdfas ot tbg
Off gusdfas lh tea nlky ora ohhadtak
jrokuoffy.
Tafadtak gusdfas
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KADLGYLTB[BLC
Kadlgplsbtblc goy kbhhar hrlg nlky tl nlky, hrlg acv
tl acvbrlcgact, ock avac hrlg lca port lh tea soga dl
ocltear
Kaok nlkbas ora usuoffy raturcak, terluje rakudtblc bcvorblus dlgplcacts, tl tea deagbdof pllf teot bs tea a
TQNDFOTTAT LH KADLGYLTB[BLC
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TQNDFOTTAT LH KADLGYLTB[BLC
Yutrahodtblc = tea dlgglcast rlut lh kadlgplsbtblc .bc o
tagparota dfbgota goy na axpadtak tl najbc ot onlut 4 koys bc t
ucrahrbjarotak dlrpsa.
Kahbcbtblc = o stoja prlkudak gobcfy ny tea odtblc lh prltalfytb
rafaosak hrlg kaok nlky daffs ock nodtarbof aczygas, glstfy oco
lrjocbsgs karbvak hrlg tea nlwaf. Ltear aczygas ora karbvak hrl
sude os pacbdbffbug ock osparjbffo's ock slgatbgas hrlg bcsadts,
na gotura lr bc forvof stoja. [ea debah kastrudtbva nodtarbof ojact
Zafdebb, webde dousas gor`ak eaglfysbs ltear nodtarbo's stra
stopeyfldlddb, N. Yrltaus ock ltears
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Ttojas lh putrahodtblc
hbrst = axtarcof outlfysbs ?. Kbsdlflrotblc lh s`bc = tl rakkbsejraac dlflr gobcfy lc onk
stortak bc rbjet bfbod hlsso
>. Nlky hbffak wbte josas hrlg gbdrl-lrjocbsgs = stortak bc tea o
teac hodbof ock cad` swaffbcj go`bcj vbsuof bkactbhbdotblc bs kbhhbd
faok tl prltrukbcj lh tlcjua ock aya jflnas
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purjbcj lh hadas ock urbca . slgatbgas utarbca prlfopsa axtruka
raplrtak dosas lh plstglrtag kafbvary.
4. Gornfbcj lh s`bc = eoaglfysbcj tea nfllk teot stobcs tea vassaf
okmodact tbssuas. ,
;.T`bc nfbstars = ot sbta lh eyplstotbd akago teot avactuoffy nurst
1. T`bc sfbppoja ot hbcjars ock tlas = go`bcj hbcjarprbct bkactbhbdo
8. Nfllky hfubk lut lh off nlky lrbhbdas = ohtar >-4 waa`s kua tl eag
bcdraosa prassura :. Eaovy gojjlt bchastotblc= prlkuda aczygas teot eostac outl
8/10/2019 Pathophysiology of Death
43/100
T`bc gornfbcj
8/10/2019 Pathophysiology of Death
44/100
NFLLKR HFQBK LQ[ LHNLKR L^BHBDATAUTOCJQBCO[BLC
8/10/2019 Pathophysiology of Death
45/100
GOJJL[ BCHAT[O[BLC
8/10/2019 Pathophysiology of Death
46/100
BC[A^COF KADLGYLTB[BLC
[ebs lddurs ot gude kbhharact parblk
Okracof gakuffo , pocdraos , bctastbca woff outlfysa wbtebc e
Qtarus , prlstota bc waff s`afatlcnlky goy stoy hlr o yaor
Nrobcfbquahy wbtebc o glcte
Eaortbs glkarotafy rasbstoct , axogbcotblc lh dlrlcory ortarklca ohtar glctes ock tea otearlgo parsbsts
Fotar parhlrotblc lh gojjlts ock forjar prakotlrs Avactuoffy
rakudak tl o s`afatlc
DLCKB[BLCT OHHAD[BCJ ^O[A LH
8/10/2019 Pathophysiology of Death
47/100
YQ[^AHOD[BLC
?. [agparotura=putrahodtblc najbcs onlva ?9ld ock bs l
natwaac >?ld ock 45l D. O tagparotura bcdraosa lh ?usuoffy klunfas tea rota lh glst deagbdof prldassas o
raodtblcs. Bt bs orrastak naflw 9ld, ock onlva ;5ld.
>. Glbstura= hlr putrahodtblc glbstura bs cadassory, ock ro
krybcj lh tea nlky prodtbdoffy bcebnbts bt.4. Obr = hraa oddass lh obr eostacs putrahodtblc, portfy nad
obr dlcvays lrjocbsgs tl tea nlky.
8/10/2019 Pathophysiology of Death
48/100
;. Dfltebcj= dflteas pravact tea oddass lh obrnlrca lrj
hfbas, bcsadts, atd., Zebde kastrly tea tbssuas
1.Goccar lh nurbof= bh tea nlky bs nurbak sllc ohtar kaot
putrahodtblc bs fass. Yutrahodtblc bs kafoyak bh nlky bs nu
socky slbf, lr bc o jrova kaapar teoc twl gatars ,nadou
owoy hrlg wotar , obr ock odtblc lh bcsadts ock ocbgofs
Yutrahodtblc bs glra ropbk bh deocjas lh kadlgplsbtblc ofraoky prasact ot tea tbga lh nurbof.
BGGA^TBLC OCK NQ^BOF
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49/100
BGGA^TBLC OCK NQ^BOF
Bggarsblc bc wotar lr nurbof wbff sflwtea prldass lh Kadlgplsbtblc. Bt b
nlky bc obr wbff kadlgplsa [wbdaos host os o nlky bc wotar ock hlur tbg
os o nlky uckar tea jrluck.
. Yutrahodtblc bs glra ropbk bc worg, hrase wotar teoc bc dlfk, soft wota
ropbk bc stojcoct wotar teoc bc ruccbcj wotar. Yutrahodtblc bs kafoyak w
fybcj bc kaap wotar ock bs waff prltadtak ny dfltebcj
Os tea sungarjak dokovars hflot wbte hoda klwc ock eaok flwar teoc t
kbstacsblc ock kbsdlflrotblc stortak hrlg tea hoda spraok tl cad`, uppadeast . onklgac . flwar axtragbtbas bc lrkar
Ohtar raglvof hrlg wotar putrahodtblc bs hostar kua tl wotar onslrnak bc
8/10/2019 Pathophysiology of Death
50/100
8/10/2019 Pathophysiology of Death
51/100
NQ^BOF
[ea ahhadts ock tea tbga sdofa lh tea deocjas hlNurbof ora sl vorbonfa teot fbttfa spadbhbd doc na s
Ltear teoc nurbak nlkbas jacaroffy kadoy glra
Aspadboffy bh teay ora nurbak kaapwbtebc tea jrl
[ea favaf lh glbsturabc tea surrluckbcj slbf ock
Lh tea slbf wbff nlte sbjcbhbdoctfy oftar tea spaak
Kadlgplsbtblc.
HL^GO[BLC LH OKBYLDA^A
8/10/2019 Pathophysiology of Death
52/100
Okbpldara bs o woxy sunstocda karbvak hrlg tea nlky ho
glst bcstocdas tea deocja lh okbpldara bs portbof ock br
Bt bs dousak ny eykrlfysbsock eykrljacotblc lh okbplsafaokbcj tl tea hlrgotblc lh o jraosy lr woxy sunstocda
radactlrbjbc. Ohtar glctes lr yaors eova possak, okbpl
nadlgas nrbttfa ock deof`y.
[ea dlflrdoc vory hrlg kaok webta, terluje pbc`bse, tl lr jraacbse-jray. [ea sunstocda btsafh bs lhh-webta, nut st
wbte nfllk lr prlkudts lh kadlgplsbtblc doc jbva bt tea r
jraacbse.
[ea sgaff wos oddurotafy kasdrbnak os nabcj 'aort
8/10/2019 Pathophysiology of Death
53/100
y jdeaasy ock ogglcbodofglbstura bs cadassory hlr tea prldass nut nlky wsuhhbdbact hlr tea eykrlfysbs tl prldaak . ock tagp
onlva 1-5 aorfy odtbvbty ny ocoarlnas sude os dflsparhbcjacsossbst bc tea raodtblc
8/10/2019 Pathophysiology of Death
54/100
BGYL^[OCDA LH OKBYLDA^A HL^GO[
8/10/2019 Pathophysiology of Death
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Lcda bt bs hlrgak bt goy fost hlr kadokas
[ea usuof kbsslfutblc lh putrahodtblc bs rapfodak ny okbpldara hlr
okbpldara bcebnbt putrahodtblc )
Bcmurbas aspadboffy nuffat elfas goyna prasarvakbc o ragor`onfa
Gobcfy ohhadt tea sundutocalus hot nut ofsl goy axtack tl axtarc
[bga raqubrak tl na hlrgak hrlg 4-?> glctes
Bt bs lhtac gbxakwbte ltear hlrgs lh kadlgplsbtblcDartobc oraos eova glra tackacdy fb`a deaa`s , lrnbts , deast , o
woff , nuttld`s
GQGGBHBDO[BLC
8/10/2019 Pathophysiology of Death
56/100
GQGGBHBDO[BLC
Bt bs krybcjlh tea tbssuas doc dlaxbst wbte ltear glkas lh kadlgpl
kbhharact oraos lh tea soga nlky.
Glra fb`afy teoc tea ltear glkas lh kadlgplsbtblc tl axtack lvar
dlrpsa.
Guggbhbdotblc doc lcfy lddur bc o kry acvbrlcgact, webde bs usuof
worg pfoda.
Guggbhbdotblc doc lddur bc hraazbcj dlckbtblcs, portfy nadousa lh t
krycass lh tea obr ock portfy nadousa lh tea bcebnbtblc lh nodtarbof j
[ea glst wbkafy `clwc hlrgs lh guggbhbdotblc ora telsa bc elt, ka
zlcas
8/10/2019 Pathophysiology of Death
57/100
KAOK GQGGBHBAK NLKR
8/10/2019 Pathophysiology of Death
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[ea assactbof raqubragact hlr guggbhbdotblc bs o kry acvbrlcgact, prah
glvbcj obr durract.
[ea s`bc bs kbsdlflrak (usuoffy nabcj nrlwc)
[ea s`bc ock uckarfybcj tbssuas ora eork, go`bcj outlpsy kbssadtblc k
[ea dlckbtblc lh tea bctarcof lrjocs bs vorbonfa, kapackbcj portfy lc tea
tbga sbcda kaote. [eay goy na portfy krbak, portfy putrahbak - ock okbpl
ucdlgglc.
Hodbof radljcbtblc goy na plssbnfa bc slga bcstocdas
Guggbhbdotblc bs fb`afy tl lddur bc tagparota dfbgotas weac tea nlky bsuckbsturnak bc o kry, worg pfoda. [easa bcdfuka dflsak rllgs ock dup
Cugnar lh teasa nlkbas ora ebkkac elgbdbkas
Guggbhbak hatus lr cawnlrc bchoct, dlcdaofak bc klgastbd dbrdugstoc
e f ht Ze f t bhb tb e t ` f
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o elusa flht. Zeara dlgpfata guggbhbdotblc eos to`ac pfoda.
[ea tbgbcj lh guggbhbdotblc bs clt waff kldugactak, os glst guggbh
eova naac dlcdaofak sl waff teot kbsdlvary klas clt lddur uctbf flcj
prldass eos raodeak bts goxbgug ahhadt. Dartobcfy to`as slga waa`s
Ohtar dlgpfata krybcj eos to`ac pfoda, tea nlky goy ragobc bc teot st
yaors
Avactuoffy, glfk hlrgotblc ock peysbdof katarblrotblc prljrass, tea kr
nadlgbcj spfbt ock plwkary ock jrokuoffy kbsbctajrotbcj. [ebs prldass
eostacak ny ocbgof prakotblc
Guggbhbdotblc offlws gomlr bcmurbas tl na prasarvak
[ea stbhh tbssuas doc na slhtacak hlr nattar axogbcotblc ock ebstlfljy,
o ?1 par dact slfutblc lh jfydarbc hlr savarof koys
8/10/2019 Pathophysiology of Death
60/100
199 RAO^T GQGGBHBAK NLR BC OTBO
8/10/2019 Pathophysiology of Death
61/100
N^OBC LH [EO[ NLR QCKA^
D[ TDOC
YLT[ GL^[AG KOGOJA NR
8/10/2019 Pathophysiology of Death
62/100
YLT[-GL^[AG KOGOJA NRY^AKO[L^T
Ocbgof prakotblc bs port lh tea coturof hllk deobc [ea naosts vorybcj hrlg octs tl hlxas, ock hrlg nfuanlttfas tl
Hlxas doc kroj ports lh o nlky owoy tl o kbstocda lh ot faost >
8/10/2019 Pathophysiology of Death
63/100
KAOK NLKR HODA AO[AC NR
KLJT
[ea typa lh kogoja hrlg docbca ock rlkact prakotlrs bs usuoffy
8/10/2019 Pathophysiology of Death
64/100
[ea typa lh kogoja hrlg docbca ock rlkact prakotlrs bs usuoffy
tea fldof raglvof lh forja oglucts lh hfase bs usuoffy oddlgpocba
avbkacda lh taate gor`s
[ea plstglrtag cotura lh webde bs lnvblus hrlg tea fod` lh nfaakbchfogak gorjbcof zlca
Gbda rorafy ottod` nlkbas, nut goy eafp tl raglva tea krbak, drug
lh o guggbhbak dlrpsa
[ea glst odtbva tbssua raglvars ora gojjlts, tea forvof stoja lhock hfbas
8/10/2019 Pathophysiology of Death
65/100
Bc tagparota zlcas teabr odtbvbty bs saoslcof, . [ea
bcsadts foy ajjs lc tea hrase dlrpsa (lr avac lc o
kanbfbtotak fbva vbdtbg), dellsbcj wlucks lr glbst sude os tea ayafbks, fbps, clstrbfs ock jacbtofbo. Lc
kadlgplsbtblc najbcs, tea ajjs doc na kaplsbtak
ocyweara. [ea ajjs eotde bc o koy lr sl, ock sav
dydfas lh gojjlt kavaflp, seakkbcj teabr dosas obctarvofs, kapackbcj lc tea spadbas.
[ea gojjlts ora vlrodblus ock acarjatbd, hbrst axpflrbcj tea cotu
8/10/2019 Pathophysiology of Death
66/100
possojas, sude os glute ock clstrbfs, teac nurrlwbcj bctl tea tbs
sadrata kbjastbva hfubks wbte prltalfytbd aczygas teot eafp slhtac
nurrlwbcj nacaote tea s`bc, ock sbcusas teot eostac putrahodtblc
okgbttbcj obr ock oddass tl axtarcof gbdrl-lrjocbsgs
[ea oct, webde doc ottod` tea nlky sllc ohtar kaote nahlra putra
najbcs. O dlgglc pfoda hlr oct ottod` bs orluck tea ayafbks, fbps
`cud`fas. [ea fasblcs ora suparhbdbof ufdars wbte sdofflpak, gorjb
doc na gbsto`ac hlr octa-glrtag onrosblcs, nut teabr plsbtblc, gfod` lh nfaakbcj lr bchfoggotlry deocjasusuoffy go`a teag aos
radljcbzonfa.
T@AFA[AFB]O[BLC
8/10/2019 Pathophysiology of Death
67/100
?>-?5glctes= slht tbssuas wbff na onsact.[acklcs, fbjogacts, eobr ock cobfs wbff na bkactbhbonfa hlr slga tbga ohtar t
Ohtar 4 yrs= tea nlcas wbff na nora ock kbsortbdufotak.
Bc tagparota zlcas tea nlcas wbff ragobc slfbk & eaovy wbte tea
lh nlca gorrlw bc flcj nlcas hlr o cugnar lh yaors, teot doc s
subtonfa hlr spadbofbst KCO ocofysbs.
Ohtar ;9-19yaors=
Nlca surhoda nadlgas kry & nrbttfa.
Gorrlw dovbty wbff na agpty.
[BGBCJ LH KAO[E
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68/100
Nlky tagparotura (nlky dllfbcj )Ofjlr glr
Kaok nlky nadlgas prljrassbvafy Dlfkar ohtar kaote
[ea dactar lr 'dlra' lh tea nlky docclt najbc tl dllf Q
'tagparotura jrokbact' bs sat up ny tea dllfbcj ot tea T
surhoda. Os tea tbssuas ora pllr eaot dlckudtlrs, tebs
to`as o vorbonfa tbga tl nadlga astonfbseak ock [eara
tearglgatar pfodak caor tea dlra (usuoffy bc [ea radt
clt rajbstar o hoff hlr slga tbga. [ebs bs tea Zaff-`clwc
'pfotaou',
8/10/2019 Pathophysiology of Death
69/100
pfotaou
Axdapt weara tea acvbrlcgactof (ognbact) tagparotura ra
8/10/2019 Pathophysiology of Death
70/100
p ( ) p
lr avac onlva 4:"D, tea eugoc nlky wbff dllf ohtar kaote.
ucbhlrg, elgljacalus fonlrotlry 'nlky' wbff dllf oddlrkbcj
cawtlc's fow lh dllfbcj, webde stotas teot tea rota lh dllprlplrtblcof tl tea kbhharacda bc tagparotura natwaac tea n
surhoda ock bts surrluckbcjs
O eugoc nlky klas clt lnay CAZ[LC'T fow, teluje te
tea kbsdrapocdy vorbas oddlrkbcj tl savarof hodtlrs
Zeac kaote lddurs, Eaot trocshar wbtebc tea nlky terluje tea d
8/10/2019 Pathophysiology of Death
71/100
daosas. Gatonlfbd eaot prlkudtblc, lddurrbcj gobcfy bc tea gus
fbvar, klas clt daosa ucbhlrgfy ock slga eaot jacarotblc D
hlr o vorbonfa tbga. Os sllc os tea suppfy lh Zorgak nfllk daodorkbod orrast, tea s`bc surhoda Bggakbotafy najbcs tl flsa eaot
Zoys tl to`a dlra tagp=
?. radtof
>. fbvar
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72/100
Hodtlrs ohhadtbcj
8/10/2019 Pathophysiology of Death
73/100
Hodtlrs ohhadtbcjnlky dllfbcj
Nlky tagparotura ottea tbga lh kaote.
Eaglrreoja
Tbta lh raokbcj lhnlky
tagparotura(s).
Ylstura lh teanlkyaxtackak lrdurfak bctl o hatof
plsbtblc.
Dfltebcj typa lhgotarbof, plsbtblclc tea nlkylr
fod` lh bt.
Lnasbty acvbr
tagp
Zbcksrobc, eu
EACTTJA CLGL J^OG GA[ELK
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74/100
Cl strlcjkb tb
^aqubragactst
8/10/2019 Pathophysiology of Death
75/100
rokbotblctl usa
Cl strlcjhavar lrjacarof
eyplteargbo
Cl dartobcsavara deocjas
lh dllfbcjdlckbtblcs
natwaac tbga lhkaote ock nlky
axogbcotblc
Cl ebjeteargof
dlckudtbvbtylh surhoda
nacaote teanlky
JOT[^BD AGY[RBCJ
8/10/2019 Pathophysiology of Death
76/100
[ea hlfflwbcj hodtlrs hrustrota tea usa lh jostrbd agptybcj Os o
lh tbga sbcda kaote=
Kbjastblc goy dlctbcua hlr slga tbga ohtar kaote.
[ea peysbdof cotura lh o gaof eos o prlhluck ahhadt lc Agptybcj tbga=
hfubk tea dlcsbstacdy, tea Hostar tea agptybcj.
[ea cotura lh tea hllk glkbhbas agptybcj tbga, cltonfy Hotty sunstocdas
gor`akfy kafoy tea lpacbcj lh [ea pyflrus. Ttrlcj ofdlelf, sude os spbrbts o
Ofsl brrbtota tea gudlso ock tack tl kafoy agptybcj.
Bgplrtoctfy, ocy carvlus lr systagbd seld` lr strass, Gakbotak terluje tea
porosygpoteatbd (vojus) systag, Doc sflw lr stlp jostrbd gltbfbty ock kbjas
Tadratblc os waff os elfkbcj tea pyflrus hbrgfy dflsak.
>. [EA AC[LGLFLJR LH KAO[E OCK YLT[-GLBC[A^XOF
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77/100
[ea glst dlgglc bcsadt hluck lc rafotbvafy hrase dlrpsas bs tea
jrlup lh hfybcj bcsadts wbte ofglst wlrfkwbka kbstrbnutblc. [eay g
dlgprbsa tea nfuanlttfas, tea jraac nlttfas ock tea elusahfy. [ea
cugarlus spadbas, wbte vorbotblcs bc fbha dydfas teot ora oftarak ny
dlckbtblcs. [ea nfuanlttfa bs tea glst dlgglc, tea glst hraquac
kaok hfase. [easa ora forja, hfbas onlut 8-?; gg flcj, wbte nfua o
[eay kl clt hfy bc tea kor` ock teus ajjs ora fobk lcfy bc koyfbjet
rorafy hfy bc wbctar, nut goy kl lc hbca koys, teluje weac tea tagnaflw ?> d teay ora ucfb`afy tl foy ajjs
Nfuanlttfas prahar hrase rotear teoc kadoyak dlrpsa ock foy teab
ohtar kaote,
Bckaak, teay goy foy ajjs lc tea fbvbcj, aspadboffy weac tea vbdtb
ocbgof) bs kanbfbtotak lr wluckak
8/10/2019 Pathophysiology of Death
78/100
ocbgof) bs kanbfbtotak lr wluckak.
Tbcjfa nfuanlttfa goy foy up tl 499->999ajjs
[ea ajjs ora fobk lc glbst oraos, sude os tea ayafbks, docteb lh te
clstrbfs, fbps, glute, jacbtofs ock ocus. Bh teara ora ocy lpac wlu
waapbcj onrosblcs, teasa goy ofsl na dlflcbzak. [ea ajjs ora y
nococo-seopak, onlut ?.: gg bc facjte.
[ea dlgglc elusa hfy bs kbhharact bc teot, ucfb`a tea nfuanlttfas, b
foy bts ajjs lc ofraoky kadlgplsak hfase, teluje bt bs glra ottro
jornoja teoc tl dokovars. [ea ajjs ora gude sgoffar ock webtarotear teoc yafflw.
[ea welfa fbhadydfa bs onlut ?; koys ot onlut >9d,
8/10/2019 Pathophysiology of Death
79/100
?> koys
5-?;
>-4 koys
8 koys
[ea
lh n
YLT[ GL^[AG DEAGBT[^R
8/10/2019 Pathophysiology of Death
80/100
[ea ocofysbs lh peysblfljbdof deagbdof dlcstbtuacts lh tea Nlky
Bcvastbjotbcj kaotes hrlg gatonlfbd ock nbldeagbdof Kbsturnocdas.
Qchlrtucotafy, tea dlcdactrotblc lh gocy coturof deagbdof Tunstocda
kaok nlky bs ropbkfy kbstlrtak ny Ylst-glrtag outlfysbs.
Tlga sunstocdas ora glra stonfa, elwavar ock weac rasufts ora do
bctarpratak, dlcsbkaronfa bchlrgotblc doc na lntobcak. Qrao ock dr
ora stonfa plst-glrtag, wbte fbttfa vorbotblc avac up tl ?99 elur
kaote, sl tea kbojclsbs lh octa-glrtag cbtrljac ratactblc bs qubta rafb
[ea clrgof urao cbtrljac rocja Hluck bc plst-glrtag sarug
;.2 tl 1.1 gglf/f, Draotbcbcanabcj hrlg onlut :9.: tl >?>.> g
8/10/2019 Pathophysiology of Death
81/100
[ea vbtralus hfubk (euglur ) bs gude tl na praharrak tl nfllk
glrtag deagbdof ocofysas. Xbtralus bs hor fass dlctogbcotak Ny
outlfysbs ock bs raglta hrlg tea forja Lrjocs ock nfllk vassa
onklgbcltelrodbd dovbty.
Ohtar kaote, bctrodaffufor pltossbugfaodeas hrlg tea ^atbco te
clw pargaonfa daff gagnrocas, bctl tea Xbtralus nlky, coturof
8/10/2019 Pathophysiology of Death
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clw pargaonfa daff gagnrocas, bctl tea Xbtralus nlky, coturof
ucavac kbstrbnutblc Kapackbcj lc tea kbstocda hrlg tea woff lh
(webde Bs wey off lr o sunstoctbof prlplrtblc lh tea hfubk selufk n
Zbtekrowc hlr ocofysbs, tl lntobc o gaoc favaf). Bh hrojgacts Lhospbrotak ny tea syrbcja, kua tl axdassbva Tudtblc, teac o hofsa
afavotak pltossbug gaosuragact wbff Na lntobcak.
Jacaroffy spao`bcj, tea vbtralus Yltossbug gatelk bs lh glst u
tea hbrst >;-48 Elurs, weac ltear gatelks eova daosak tl eova
oppfbdotblc. Ofteluje tea arrlrs ora jraot, slga bchlrgotblc dockarbvak hlr up tl ?99 elurs plst-glrtag.
Bc rafotblc tl ltear vbtralus afadtrlfytas, tea dlcdactrot
8/10/2019 Pathophysiology of Death
83/100
slkbug ock deflrbkas kadraosa ohtar kaote, webfa Ylt
rbsas.
[ea aquotblc bs bcdraosa bc pltossbug 9.?2 gglf/f/er
Deflrbkas kadraosa ot fass teoc ? gglf/f/e ock slkbug
Onlut 9.2gglf/f/e, sl tea flss lh tebs slkbug bs Bcsbjcb
tea hbrst haw elurs, kbhharbcj hrlg pltossbug, Zebde rbsa
oppradbonfy.
Bc rafotblc tl jfudlsa, o dlgglc prlnfag bs tea outlps
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84/100
kbojclsbs lh ucdlctrlffak kbonatas ock lh eypljfydagb
vbtralus jfudlsa usuoffy hoffs ohtar kaote ock ,doc raod
wbtebc o haw elurs.
Xbtralus jfudlsa lh glra teoc ? ?.? gglf/f wos oc bcv
bckbdotlr lh kbonatas gaffbtus
Bc rafotblc tl eypljfydagbo, o vbtralus jfudlsa lh fass
gglf/f oc bckbdotblc lh o flw octa-glrtag nfllk sujo
YLT[ GL^[AG O^[AHOD[T
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YLT[ GL^[AG O^[AHOD[T
[ea pocdraos bs lca lh tea hbrst lrjocs tl uckarjl Outlfysbs, na
ea prltalfytbd aczygas wbtebc bt [ea outlfysak tbssua bs lhtac
eaglrreojbd ock doc Aosbfy na gbsto`ac hlr oduta pocdraotbtbs,
Ebstlfljy wbff ropbkfy raslfva tea prlnfag.
Yotdeas lh eaglrreoja, slgatbgas qubta forja ock dlchfuact,
n eb k te e b te `
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bc tea tbssuas naebck tea aslpeojus bc tea cad`. [eas
octarblr surhoda lh tea darvbdof vartanroa ock ora dousak ny kbs
ock fao`oja hrlg tea vaclus pfaxusas teot fba bc tebs orao. [eabgplrtocda fbas bc dlchusblc wbte kaap cad` nfaakbcj bc
strocjufotblc (ock slgatbgas wbte spurblus cad` hrodturas)
wey tea s`uff selufk na lpacak nahlra tea cad` bc ocy suspad
strocjufotblc lr eocjbcj, tl rafaosa tea prassura bc tea cad` va
eockfbcj tea tbssuas.
Outlfytbd ruptura lh tea stlgode doc lddur plstglrtag Bc nlte d
okuft, kasdrbnak ny mlec Euctar bc tea abjetaacte dactury. [ebs s
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'Jostrlgofodbo'oppaors os o sfbgy nrlwcbse nfod` Kbsbctajtea huckus wbte rafaosa lh tea Ttlgode dlctacts bctl tea parbtlc
Tlgatbgas, tea faht faoh lh tea kboperojg bs ofsl Yarhlrotak terl
rojjak hacastrotblc, wbte asdopa Lh jostrbd dlctacts bctl tea dea
Eaot hrodturas lh tea nlcas, abtear s`uff pfotas lr flcj nlcas,
saac bc vbdtbgs lh savara hbras, nut ora clt avbkacda lh octa-glrt
'e t e t
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vblfacda. Ofsl bc dlchfojrotblcs, tea 'eaot eagotlgo' wbtebc te
s`uff doc rasagnfa oc axtrokurof eaglrreoja lh octa glrtag lr
sbta bs lhtac ot tea vartax lr lddbput0 elwavar, ucfb`a tea usuof poeaglrreoja, teara bs cl hrodtura fbca drlssbcj tea gbkkfa gacbcj
ortary, tea usuof dousa lh o trua axtrokurof nfaak.
[ea hrltey nrlwcoppaorocda lh tea hofsa dflt
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y pptljatear wbte eaotbcj ahhadts bc tea okmodact nro
selufk bckbdota tea trua kbojclsbs. Terbc`oja lh
Kuro kua tl eaot goy dousa bt tl spfbt, wbte
earcbotblc lh tea nrobc tbssua bctl tea axtrokurof
spoda. Tavara nurcs lh tea nlky surhoda goy fa
eaot dlctrodturas lh tea fbgns wbte taors lvar ml
sude os tea afnlw. [easa gust clt na dlchusakocta glrtag fodarotblcs lr bcdbsak wlucks.
[ea nflotbcj, kbsdlflrotblc ock nfbstarbcj lh o Yutrahybcj nlky gna gbsbctarpratak os kbsaosa Lc bcmury. Nfbstars ora qubta ucfb`a
nurcs ock Kor` nfod`bse oraos lh kbsdlflrotblc gust na Kbstbcju
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hrlg nrubsbcj.
Nfllk lr nfllky hfubk bssubcj hrlg tea glute goy na Kua tl put
avac bh tea nlky surhoda bs clt Lvartfy kadlgplsak. Bh tea fucjs
possojas ora Kbsdlflrak ock hbffak wbte socjubcalus fbqubk, teac
gust na to`ac tl na dousa lh tea purjbcj hrlg tea Glute ock cl
Kor` rak kbsdlflrotblc lh tea plstarblr port lh tea Gyldorkbugbs
kua tl plst-glrtag Jrovbtotblcof eyplstosbs, clt aorfy bchordtblcTajgactof potdeas lh kor` rak lr purpfa kbsdlflrotblc lh [ea bct
eyplstosbs, clt bchordtblc.
Tlga plst-glrtag ocbgof bcmurbas ofsl rasagnfa onrosblcs Tud
bcsadt nbtas, aspadboffy ny octs.
[ea kaglcstrotblc lh bctrodrocbof nfaakbcj hrlg tea Xartanrlnos
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[ea kaglcstrotblc lh bctrodrocbof nfaakbcj hrlg tea Xartanrlnos
systag bs kbhhbduft, os tea vary prldass lh Lpacbcj tea s`uff ot ou
ock raglvbcj tea nrobc, [easa ortahodts docclt na kbstbcjubsea
lrbjbcof Nfaakbcj plbcts kua tl octa-glrtag trougo.
'Nockbcj' lh tea aslpeojus teasa nocks ora pofa oraos bc tea g
dousak ny plstglrtag Eyplstosbs nabcj pravactak hrlg sattfbc
Axtarcof prassura lh okmodact ocotlgbdof strudturas, bcdfukbcj Y
tea forycx, trodeao ock olrtbd orde
Obr agnlfbsg docclt lddur bc tea daranrof vabcs ock bt wos Yrlv
yaors ojl teot obr nunnfas bc telsa vabcs ora Ortahodts dousak n
raglvbcj tea tactlrbug
^ATQTDB[O[BLC O^[AHOD[T
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Nrubsbcj lh tea octarblr deast woff, eaglrreoja bctl tea sunduto
tbssuas ock padtlrof gusdfas, hrodturas lh tea starcug, hrodturas
rbns, eoagltelrox, nrubsak fucj, fodarotak fucj, parbdorkbof eag
ock avac hrodturak klrsof spbca hlfflwbcj acarjatbd axtarcof
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ock avac hrodturak klrsof spbca, hlfflwbcj acarjatbd axtarcof
dorkblpufglcory rasusdbtotblc (DY^). [elrodbd doja hrodturas o
debfkrac,.
Bctarcoffy off typas lh kogoja tl tea eaortgoy lddur, bcdfukbcj
otrbo ock avac vactrbdfas, saptof ruptura ock vofva kogoja. [ea
vassafs doc suhhar savara trougo, gorrlw agnlfb bc tea pufglc
vassafs eova ofsl naac raplrtak ohtar dorkbod gossoja
Yatadeboa bc tea ayas ock bctro-ldufor eaglrreojas do
ohtar DY^, os waff os ohtar vblfact scaazbcj lr dlujebcj0 teay or
`clwc tl lddur kurbcj wellpbcj dluje.
Nrubsbcj lh tea hoda ock cad`, hbcjar gor`s ock cobf Go
tea hoda ock cad` ock kogoja tl tea fbps ock Bccar ju
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tea hoda ock cad`, ock kogoja tl tea fbps ock Bccar ju
hrlg glute-tl-glute rasusdbtotblc, weac [ea hoda ock
eova naac jrbppak ny eocks. Kogoja [l fbps, jugs, tock peorycx doc lddur hrlg tea Bctrlkudtblc lh oc ortbh
obrwoy lr ackltrodeaof tuna, Aspadboffy bc kbhhbduft, eurr
agarjacdy sbtuotblcs. Bcmurbas tl tea forycx, avac bcdfu
hrodtura lh tea Eylbk ock teyrlbk dlrcuoa, doc lddosbllddur Hrlg teasa prldakuras, webde ora kbhhbduft tl Kbs
hrlg gocuof strocjufotblc bh tea Dbrdugstocdas ora ln
Yucdtura gor`s hlr vacbpucdtura goy na Dlchusak wbte bcmadtblc go
kapackacda. [ea bctrlkudtblc lh bctrovaclus doccufoa bctl vabcs Bc t
goy dousa forja eagotlgoto ock glra Kbhhusa nfaakbcj bctl tea tbss
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goy dousa forja eagotlgoto ock glra Kbhhusa nfaakbcj bctl tea tbss
oflcjsbka tea forycx.
[ea ahhadts lh bcmadtak
Clrokracofbca ock afadtrbdof kahbnrbffotblc lc tea Ebstlfljbdof oppaoro
gyldorkbug ora waff ^adlrkak, wbte dlctrodtblc nocks nabcj tea g
Lnvblus ortahodts webde doc na gbsto`ac hlr praaxbstbcj Gyldorkbof b
Kogoja tl tea glute, pofota, peorycx ock forycxDoc
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hrlg ottagpts tl bctrlkuda o forycjlsdlpa Lr obrwoy. A
hrodtura lh tea gockbnfa eos naac Dousak bc tebs woy.
bchocts, avac kbjbtof dfaorocda Lh tea peorycx doc dousgudlsof kogoja. Kogoja [l tea peorycjaof gudlso
dousa nfaakbcj, Zebde doc saag sbcbstar tl plfbda lr ra
tebs Goy na gbxak wbte -tea hfubk lh pufglcory akago [
prlkuda dlpblus pbc`, nfllky hrlte, saac bc o Cugnar l
dosas, bcdfukbcj sukkac bchoct kaote Tyckrlga.
Kurbcj tea Eabgfbde gocauvar tl dfaor oc obrwoy Lnstrudtblc, ru
tea aslpeojus, stlgode ock Bctastbcas eova naac raplrtak. [ea
aslpeojus doc na Yarhlrotak ny oc bcdlrradtfy bcsartak obrwoy B
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aslpeojus doc na Yarhlrotak ny oc bcdlrradtfy bcsartak obrwoy. B
Onklgac, axtarcof dorkbod gossoja goy dousa rupturak Ttlgo
rupturak fbvar, ock kogoja tl spfaac ock Yocdraos.
Jostrbd dlctacts bc tea obr possojas goy eova ^aodeak teara n
splctocalus rajurjbtotblc lr ny pugpbcj tea deast ock uppar o
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Kurbcj rasusdbtotblc ottagpts. [ebs go`as tea Hbckbcj lh vlgbt
forycx ock trodeao.
[ea okgbcbstrotblc lh lxyjac ny gos` lr tuna goy Dousa kog
doc lvar acarjatbd glute-tl-glute ^asusdbtotblc. ^upturas lh
aslpeojus ock fucj eova naac Lddurrak, ock ltear typas lh no
bcdfuka ^upturak stlgode ock bctastbca. Zeara o pra-axbstbcj J
axbsts, tea okgbcbstarak jos goy asdopa bctl [ea onklgac. [ekbojclsbs lh o pra-axbstbcj Ycaugltelrox goy na bgplssbnfa w
hlrdak Xactbfotblc eos naac okgbcbstarak.
Bc tea dactrof carvlus systag, sunorodeclbk Eaglrreoja eos n
kasdrbnak ohtar axtarcof dorkbod Gossoja
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Gyldorkbof ock pufglcory nlca gorrlw agnlfbsgEos naac ra
hlfflwbcj dorkbod gossoja
^atbcof eaglrreojas, dfossbdoffy o sbjc lh robsak Bctrodrocbof pra
ock lh eaok bcmury, eova ofsl naac Kasdrbnak bc wellpbcj dluj
ohtar DY^.
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