Yayci Nesime, Ağritmiş Hasan, Turla Ahmet, Koç Sermet
Department of Forensic Medicine, Marmara University Faculty of Medicine, Tophanelioğlu Caddesi, 13/15 Altunizade, Usküdar, Istanbul, Turkey.
Forensic Sci Int. 2003 Jan 9;131(1):36-41. doi: 10.1016/s0379-0738(02)00376-6.
The aim of this study is to examine methyl alcohol poisoning cases from the medico-legal point of view. The records of the Morgue Department of Council of the Forensic Medicine were reviewed retrospectively for all methyl alcohol poisonings for the period of 27.10.1992 and 30.05.2001. The victim's age, sex, death year, death place, methyl alcohol blood levels, the source of methyl alcohol, accompanying laboratory results and histopathologic tissue changes were recorded. The number of deaths due to the methyl alcohol poisoning was 271 during that period of time. Two hundred and forty-two of the (89.3%) total 271 methyl alcohol fatalities were men and 29 (10.7%) of were women. The largest age group was 36-40 years old, followed by 41-45. The methyl alcohol blood concentrations ranged widely from 50 to 755 mg for per 100 ml. There were 222 cases (81.9%) with the methyl alcohol blood concentrations over 100 mg/dl. Twenty-nine (10.7%) victims were poisoned through the consumption of cologne and three of them with alcoholic beverage named "Raki". Consumed products were not known in all other cases because of insufficient patient history and data. As a conclusion, regarding the distribution according to years, mortality due to methyl alcohol intoxication in our country have been proceeding on a certain level. In order to decrease the mortality due to methyl alcohol intoxication, some precautions should be developed that could prevent the production and consumption of alcoholic beverages illegally produced.
本研究旨在从法医学角度审视甲醇中毒案例。回顾性查阅了法医委员会停尸房部门1992年10月27日至2001年5月30日期间所有甲醇中毒案例的记录。记录了受害者的年龄、性别、死亡年份、死亡地点、血液中甲醇水平、甲醇来源、伴随的实验室结果以及组织病理学组织变化。在那段时间里,因甲醇中毒死亡的人数为271人。在271例甲醇中毒死亡案例中,242例(89.3%)为男性,29例(10.7%)为女性。最大年龄组为36 - 40岁,其次是41 - 45岁。血液中甲醇浓度范围很广,每100毫升从50毫克到755毫克不等。有222例(81.9%)血液中甲醇浓度超过100毫克/分升。29例(10.7%)受害者因饮用古龙水中毒,其中3例因饮用名为“拉克酒”的酒精饮料中毒。由于患者病史和数据不足,在所有其他案例中,所消费的产品情况不明。总之,从按年份的分布来看,我国甲醇中毒死亡率一直处于一定水平。为降低甲醇中毒死亡率,应制定一些预防措施,以防止非法生产酒精饮料的生产和消费。