Hain John Randolph
Monterey County Coroner's Office, Salinas, Calif 93906, USA.
Am J Forensic Med Pathol. 2009 Dec;30(4):398-402. doi: 10.1097/PAF.0b013e3181c1e7fa.
An unlicensed practitioner performing subcutaneous injections of large volumes of corn oil caused the death of one of her clients and life-threatening neurologic complications of a second client from systemic fat embolism. Several additional clients also came forward to report other serious complications they had suffered from similar procedures. The clinicopathologic and investigative findings from these cases are described. In both instances of fat embolization, the diagnosis was overlooked by hospital staff because of insufficient or misleading clinical history. The local and systemic pathologic manifestations of corn oil injections in 1 victim who died several days later from multiple organ failure are described. The clinical history and course of another who survived after 8 days of hospitalization are also presented. Similarities with complications from other forms of cosmetic oil injections are discussed. Laboratory analyses applied to confirm the nature of the injected oil and the course of criminal prosecution are also described.
一名无执照从业者大量皮下注射玉米油，导致一名客户死亡，另一名客户因全身性脂肪栓塞出现危及生命的神经并发症。另外还有几名客户站出来报告他们在类似操作中遭受的其他严重并发症。本文描述了这些病例的临床病理及调查结果。在两例脂肪栓塞病例中，由于临床病史不足或具有误导性，医院工作人员均忽略了诊断。文中描述了1名受害者因多器官衰竭在数日后死亡，其玉米油注射的局部和全身病理表现。还介绍了另一名患者在住院8天后存活下来的临床病史及病程。文中讨论了与其他形式美容油注射并发症的相似之处。还描述了用于确认注射用油性质的实验室分析以及刑事诉讼过程。
