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1案例资料1.1案例1简要案情伊某,男,45岁,务农。2009年12月29日中午驾驶三轮车时因碰撞他人倒地,并发生争吵撕扯,之后其走了几步突然倒地,经120医务人员抢救无效死亡。尸体检验体型呈腹型肥胖。尸表检验及解剖检验均未发现机械性损伤、机械性窒息征象。心脏肥大约17cm×11cm,重量512g;右心房、室及左心室表面被脂肪包裹,左心室显著扩张;左心室壁厚1.5cm,右心室壁厚1.0cm;瓣膜周径:二尖瓣10cm,三尖瓣13cm,主动脉瓣7.6cm,肺动瓣8.6cm;室间隔1.3cm;冠状动脉口处无血栓。镜检见:心肌细胞肥大,核大深染呈不规
1 Case Information 1.1 Case 1 Brief Case Love Iraq, male, 45 years old, farming. December 29, 2009 Noon When driving a tricycle fell to the ground as a result of a collision, and after a quarrel, she took a few steps and then suddenly fell to the ground. After being rescued by 120 medical staff, she died. Body test showed abdominal obesity. Dead body test and anatomical test did not find mechanical damage, mechanical asphyxia signs. Cardiac hypertrophy about 17cm × 11cm, weight 512g; right atrium, left ventricular and left ventricular surface was wrapped by fat, left ventricular expansion was significantly; left ventricular wall thickness 1.5cm, right ventricular wall thickness 1.0cm; valve circumference: mitral valve 10cm, Tricuspid valve 13cm, aortic valve 7.6cm, pulmonary valve 8.6cm; ventricular septal 1.3cm; coronary artery thrombosis. Microscopic examination: myocardial cell hypertrophy, nuclear dark stained irregular