Byard Roger W
Faculty of Medicine, The University of Adelaide, Level 2, Helen Mayo Building North, Frome Road, Adelaide, 5005, Australia.
Forensic Science SA, 21 Divett Place, Adelaide, South Australia, Australia.
Forensic Sci Med Pathol. 2019 Sep;15(3):488-490. doi: 10.1007/s12024-018-0022-7. Epub 2018 Aug 22.
A 68-year-old woman with a history of osteoarthritis and morbid obesity (BMI 48.1) who collapsed at her home address was found at autopsy to have to bilateral pulmonary thromboemboli. In addition, she had striking red staining of the aortic outflow tract intima with a normal cream/white pulmonary outflow tract. Although such differential staining of the lining of the great vessel is a feature of fresh water drowning associated with hypo-osmolarity of aortic blood, this case clearly demonstrates that this, along with other features that may be characteristic of drowning, are neither specific nor diagnostic.
一名68岁女性，有骨关节炎病史且病态肥胖（体重指数48.1），在家中晕倒后经尸检发现双侧肺血栓栓塞。此外，她的主动脉流出道内膜有明显的红色染色，而肺动脉流出道呈正常的乳白/白色。虽然大血管内膜的这种差异染色是与主动脉血低渗透压相关的淡水溺水的一个特征，但该病例清楚地表明，这一特征以及其他可能是溺水特有的特征，既不具有特异性也不能用于诊断。
