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1案例资料1.1简要案情王某,男,46岁,因身体不适到诊所就诊,心率80次/min,BP18.7/12.7kPa(140/95mmHg),ECG正常。医嘱服复方丹参片和硝苯地平片,回家休息。1h后又出现身体不适,送医院抢救无效死亡。1.2尸体检验尸表检验一般情况可,双眼球睑结膜可见散在点片状出血点。右前臂内侧距腕关节12.5cm处见一2cm×2cm青紫色皮下出血,其间见一针孔样皮肤改变。双手指甲紫绀。胸部正中见一30cm×0.5cm条状三角形皮下出血。左乳头下可见一40cm×0.5cm菱形条状皮下出血。左季肋部与左锁骨中线交汇处
1 case information 1.1 brief case Wang, male, 46 years old, due to physical discomfort to the clinic, heart rate 80 beats / min, BP18.7 / 12.7kPa (140/95 mmHg), ECG normal. Danshen prescriptions and nifedipine tablets, go home and rest. 1h after another physical discomfort, sent to the hospital died of an invalid rescue. 1.2 autopsy The dead body test can be general inspection, binocular palpebral conjunctiva scattered spot flaky bleeding point. The right forearm medial 12.5 cm away from the wrist to see a 2cm × 2cm purple subcutaneous hemorrhage, during which a pinhole-like skin changes. Finger nails cyanosis. See a chest in the middle of a 30cm × 0.5cm strip triangular subcutaneous hemorrhage. A 40cm × 0.5cm rhombic strip of subcutaneous hemorrhage can be seen under the left nipple. Left quarter rib and left clavicle midline intersection