Oeser J
Z Rechtsmed. 1977 May 27;79(4):311-7. doi: 10.1007/BF00201174.
The author discusses the problem of diagnosis and evaluation of coronary embolism (CL). He presents four cases of his own observation, including histological examinations and a review of the pertinent literature. The following facts are necessary to make the diagnosis of CE: 1. An embolus consisting of foreign elements like tumor-cells, suture material or similar things. 2. Dilatation of the arterial lumen where the embolus is found. 3. No adherence between the embolus and the arterial wall. 4. Normal consistence of the arterial wall. 5. Knowledge of the source of the embolus. 6. Histomorphological conformity of the source of the embolus and the embolus itself. The mechanisms of flow and the interrelation between trauma and CE which are often difficult to judge in forensic medicine are discussed.
作者探讨了冠状动脉栓塞（CL）的诊断和评估问题。他介绍了自己观察到的4个病例，包括组织学检查以及对相关文献的综述。做出CE诊断需要以下事实：1. 由肿瘤细胞、缝合材料或类似物质等外来成分组成的栓子。2. 发现栓子部位的动脉管腔扩张。3. 栓子与动脉壁之间无粘连。4. 动脉壁质地正常。5. 了解栓子的来源。6. 栓子来源与栓子本身在组织形态学上相符。文中讨论了血流机制以及创伤与CE之间的相互关系，这在法医学中往往难以判断。
