冠状动脉栓塞的栓子常位于冠状动脉分支的最远端,使临床和尸检时诊断困难,本文报道John Hopkin医院1967年以来,对1050例疑有心血管和肺部疾患的尸检心脏作死后冠状动脉造影,对病变处冠状动脉作连续组织学切片,发现55例由冠状动脉栓塞引起心肌梗塞,占尸检心肌梗塞的13％。病人自19至88岁(平均59岁),35％是女性,大多数病例有诱发冠状动脉栓塞的基本疾病,包括瓣膜疾病22例,冠状动脉病9例, Coronary thromboembolism is often located in the most distal branch of the coronary artery, making clinical and autopsy diagnosis difficult, this article reports John Hopkin Hospital since 1967, 1050 cases of suspected cardiovascular and pulmonary disease autopsy cardiac death after coronary Arteriography, coronary lesions for lesions at the continuous histology and found 55 cases of myocardial infarction caused by coronary embolism, accounting for 13% of autopsy myocardial infarction. The patients ranged in age from 19 to 88 years (mean age 59) and 35% were female. Most of the patients had underlying coronary artery thrombosis, including 22 valve diseases, 9 coronary artery disease,