高血压件脑出血或主动脉瘤破裂摔死在法医实践中较为常见，但二者同时存在实属罕见，现报道1例．l案例张某，男，54岁，某年1明20日与他人发生争吵，在拉扯中突然倒地，神志不清，继而脸色苍白，在送往医院途中死亡．尸解发现：死者结膜、口唇、四肢末端苍白，体表未见擦伤及挫 Hypertensive patients with cerebral hemorrhage or ruptured aortic aneurysm rupture in forensic practice is more common, but the two exist at the same time is rare, is reported in 1 case. l case Zhang, male, 54 years old, a certain year 20 Ming quarrel with others in the pull suddenly fell to the ground, unconscious, and then pale, died on his way to the hospital. Autopsy found: the dead conjunctiva, lips, extremities pale, no scratches and frustration on the surface