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1 简要案情 周某,男,32岁。6月2日下午5时许,周某与人发生争执,被人扼颈部。其间双方无用工具打斗,后被劝开未见异常。约几分钟后,周某突然昏倒,即送附近卫生站时已死亡。2 尸体检验 尸长157cm。发育正常,营养中等,西式黑发。尸斑紫红色,位于躯干背侧未受压处,指压不褪色。角膜中度浑浊,双侧瞳孔等圆等大,直径0.5cm。球、睑结膜未见出血点。口、鼻腔及双外耳道未见异常分泌物。左面部、颈部皮肤有多处擦伤,大小2×0.3cm—0.3×0.2cm不等;左胸部与左肘关节后有小片挫伤。解剖见脑表面血管扩张、充血;颈前部皮下组织灶性出血(与体表损伤相对应);肺表面呈暗红色,切面见大量粉红色泡沫状液体溢出;心包腔与心尖粘连,冠状动脉各分支未见明显粥样硬化。组织学检查见脑蛛网膜下
A brief case Zhou, male, 32 years old. At 5 o’clock on the June 2, Zhou dispute with the people, was strangled the neck. In the meantime both sides useless tools to fight, after being advised to open no exception. After about a few minutes, Zhou suddenly fainted, that is, sent to the nearby health station has died. 2 corpse examination corpse 157cm. Normal development, moderate nutrition, western-style black hair. Mantle spots purple, located in the back of the torso is not under pressure, Shiatsu does not fade. Moderate corneal opacity, bilateral pupil circle and other large, diameter 0.5cm. Ball, palpebral conjunctiva no bleeding point. No abnormal secretion of mouth, nasal cavity and double external ear canal. The left face, neck skin abrasions, size 2 × 0.3cm-0.3 × 0.2cm range; left chest and left elbow after a small contusion. Anatomy see the brain surface dilatation and congestion; subcutaneous focal anterior cervical bleeding (and body surface damage corresponding); dark red lung surface, the section see a large number of pink foam-like liquid overflow; pericardial cavity and apex adhesions, coronary artery No obvious atherosclerosis in all branches. Histological examination of brain subarachnoid