Zhao Xiao-Jie, Yang Ling-Yun, Yang Yu-Jie, Bai Jie, Fan Shuan-Liang, Wang Zhen-Yuan
Department of Forensic Science, Medical College, Xi'an Jiaotong University, Xi'an 710061, China.
Fa Yi Xue Za Zhi. 2011 Dec;27(6):434-7.
To explore medico-legal characteristics of sudden death caused by coronary heart disease combined with coronary thrombosis.
Ninety-six cases of sudden death caused by coronary heart disease were collected and divided into two groups: thrombus positive and thrombus negative groups. The time onset, induction and pathological features of coronary artery disease were analyzed.
Two groups showed man-dominant population. There were no statistical significant differences in season, circadian rhythm and induction factor. The thrombus positive group (age < 40) showed a higher disease incidence. Heart weight and degree of coronary stenosis were lower in thrombus positive group. However, there was no statistical difference in the number of atherosclerotic coronary arteries (> or = 2), the length of coronary lesions and myocardial infarct. But thrombosis positive group showed lower tendency.
Two groups are man-dominant population and similar induction factor, lesion position, mechanism of death. But thrombus positive group appeared more in a younger population and the degree of coronary stenosis is milder than thrombus negative group. Forensic pathologists should pay more attention to these characteristics in death investigation.
探讨冠心病合并冠状动脉血栓形成所致猝死的法医学特征。
收集96例冠心病猝死病例，分为血栓阳性组和血栓阴性组。分析冠心病的发病时间、诱发因素及病理特征。
两组均以男性为主。在季节、昼夜节律和诱发因素方面无统计学显著差异。血栓阳性组（年龄<40岁）发病率较高。血栓阳性组心脏重量和冠状动脉狭窄程度较低。然而，在粥样硬化冠状动脉数量（≥2支）、冠状动脉病变长度和心肌梗死方面无统计学差异。但血栓阳性组呈较低趋势。
两组均以男性为主，诱发因素、病变部位、死亡机制相似。但血栓阳性组在较年轻人群中出现较多，冠状动脉狭窄程度比血栓阴性组轻。法医病理学家在死亡调查中应更多关注这些特征。
