氰化物中毒尸检：风险因素评估

The cyanide poisoning necropsy: an appraisal of risk factors.

作者信息

Forrest A R, Galloway J H, Slater D N

机构信息

Department of Clinical Chemistry, Royal Hallamshire Hospital, Sheffield.

出版信息

J Clin Pathol. 1992 Jun;45(6):544-5. doi: 10.1136/jcp.45.6.544.

DOI:10.1136/jcp.45.6.544

PMID:1624609

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC495238/

Abstract

Blood cyanide concentrations were measured in samples obtained from a pathologist before and after carrying out a necropsy on the body of a victim of cyanide poisoning. There was no significant increase in his blood cyanide concentration after carrying out the procedure. It is suggested that an important factor in determining the risk to those carrying out necropsies of the bodies of victims of cyanide poisoning is the amount of cyanide remaining in the stomach. There are several ways in which the theoretical risk inherent in carrying out such necropsies could be reduced, such as the use of a full face respirator, or the removal, intact, of the upper gastrointestinal tract to a fume cupboard for examination.

摘要

在对一名氰化物中毒受害者尸体进行尸检前后，从一名病理学家处采集样本测量血液中的氰化物浓度。尸检后，他血液中的氰化物浓度没有显著增加。研究表明，确定氰化物中毒受害者尸体尸检人员所面临风险的一个重要因素是胃中残留的氰化物量。有几种方法可以降低进行此类尸检所固有的理论风险，例如使用全面罩呼吸器，或将完整的上消化道转移到通风柜中进行检查。