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冠状动脉起源异常发病率在先天性心脏病中极为罕见,本文作者在检案中遇一成人左冠状动脉起源于肺动脉猝死的案例,现报道如下。1案例资料王某,男,35岁,农民。某日结伙殴打他人时,其头部被台球子砸中,在驾面包车逃离途中突然趴倒在方向盘上,呼之不应。同伙及时控制车辆后,将其抬下车放在路边行掐人中、胸外按压、人工呼吸,0.5h后在送入医院途中死亡。死者家属闻讯后认为王某系被殴打致死,要求法医鉴定。
The incidence of abnormal coronary origin in congenital heart disease is extremely rare, the author of this case met an adult left coronary artery originated in cases of sudden pulmonary arterial death, are reported below. 1 case information Wang, male, 35 years old, farmer. One day when the gang beat others, his head was hit by billiards, van driving on the way suddenly lying on the steering wheel on the way, call should not. After the accomplice controlled the vehicle in time, it was lifted off the car and placed on the roadside pinch, chest compression, artificial respiration, and died after being sent to the hospital for 0.5h. Deceased family members believe that Wang was beaten to death after the hearing, requiring forensic identification.