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冠状动脉畸形是较罕见的先天性畸形,而右冠状动脉缺如更为罕见,法医文献中报道甚少。作者在检案中发现一例,就其死因与猝死作一分析。男,26岁,1992年7月6日上午在干活中与他人发生争吵,被对方拳击胸部后迅即死亡。当时有人目击见证。尸检见:右胸部有3×3cm 的表皮剥脱伴皮下出血,心尖部有散在针尖样出血点。左冠状动脉走向清楚,开口于主动脉左窦内,经反复查找未发现右冠状动脉开口及走向。
Coronary artery deformity is a rare congenital malformation, while the absence of right coronary artery is more rare, few reports in the forensic literature. The author found a case in the prosecution, an analysis of its cause of death and sudden death. Male, 26 years old, quarreled with others on the morning of July 6, 1992, and died immediately after being punched in the chest of the other boxer. At that time, some witnessed the witness. Autopsy see: the right chest has 3 × 3cm of epidermal exfoliation with subcutaneous hemorrhage, apical scattered tip-like bleeding. Left coronary artery to clear, opening in the left aorta, after repeated find no right coronary artery opening and found.