Hansen A C
Aarhus Universitet, Retsmedicinsk Institut, retskemisk afdeling.
Ugeskr Laeger. 1991 Feb 11;153(7):496-500.
Deaths due to poisoning in Denmark during the five-year period 1983-1987 are described on the basis of the information from the register of causes of deaths in the Danish Institute of Clinical Epidemiology. The average annual number of deaths due to poisoning was 935.63% of these were suicides, 21% accidents, less than 1% manslaughter and in 16% of the cases the manner of death had not been established. 68% were due to medicaments, nearly half of these unspecified, 25% were due to carbon monoxide, 5% to alcohol, and 2% to other causes. The value of this account is restricted by the fact that not all of these deaths were submitted to medico-legal investigation, and that there were technical limitations in the classification and coding of causes and manners of death. In this connection, it is emphasized that almost one third of the deaths due to poisoning were caused by an unknown medicament. Differences in manners and causes of death are noted by comparing the results of this account to the material from the institutes of forensic medicine concerning chemically investigated deaths due to poisoning. This account applies to the prophylaxis of deaths due to poisoning, with special reference to medical drugs in general, carbon monoxide, alcohol, alcohol in combination with medicaments or narcotics, and over-the-counter analgesics containing acetylsalicylic acid. It is concluded that a more carefully examined representative material is required.
根据丹麦临床流行病学研究所死因登记处提供的信息，描述了1983 - 1987年这五年间丹麦因中毒导致的死亡情况。每年因中毒导致的死亡平均人数为935人。其中63%为自杀，21%为意外事故，不到1%为过失杀人，16%的死亡方式尚未确定。68%的死亡是由药物引起的，其中近一半未明确具体药物，25%是由一氧化碳导致，5%是由酒精导致，2%由其他原因导致。这份报告的价值受到限制，因为并非所有这些死亡案例都进行了法医学调查，而且在死因和死亡方式的分类及编码方面存在技术限制。在此方面，需要强调的是，近三分之一因中毒导致的死亡是由不明药物引起的。通过将本报告结果与法医学研究所关于经化学调查的中毒致死案例材料进行比较，发现了死亡方式和原因的差异。本报告适用于中毒致死的预防，特别涉及一般医疗药物、一氧化碳、酒精、酒精与药物或麻醉品的混合情况以及含乙酰水杨酸的非处方镇痛药。结论是需要一份经过更仔细审查的代表性材料。
