Wardaszka Zofia, Niemcunowicz-Janica Anna, Janica Jerzy, Ptaszyńska-Sarosiek Iwona, Koc-Zórawska Ewa
Zakład Medycyny Sadowej Akademii Medycznej w Białymstoku, ul. Kilińskiego 1, 15-230 Białystok.
Ann Acad Med Stetin. 2007;53 Suppl 2:132-5.
The objective of the paper was the presentation of observations and conclusions based on the review of autopsy records collected at the Department of Forensic Medicine, Medical University of Białystok in the years 2004-2006.
The criteria under evaluation included sex, age, alcohol level, carboxyhemoglobin concentration and site of poisoning. The COHb level was determined by the Wolff's method.
In a total of 1331 autopsies 66 (4.96%) cases of fatal carbon monoxide poisonings were reported, including 11 females and 55 males (16.7% and 83.3%, respectively). The primary cause of poisoning were blazes in flats, houses and farm buildings (80.3%). Apparent seasonal pattern of poisoning incidences was found, with a significant increase in the fall-winter period. Mean COHb concentrations in females and in males were 73.9% and 56.3%, respectively. The lowest COHb concentration (46%) was noted in the age group 0-10 years and the highest (75.5%) in the age group 41-50 years, which corresponds to the values reported previously. Fatalities included 23 sober persons (34.8%) with mean COHb 58.5% and 43 non-sober persons (65.1%) with mean COHb 57.0%. The prevalence of non-sober fatalities corresponds to the values reported previously. The highest concentrations of carboxyhemoglobin--67.2% and 58.4%, were determined in the alcohol level ranged of 3.1-4.0 per thousand and 1.1-2.0 per thousand, respectively, which only partly correspond to previous results.
本文的目的是基于对2004 - 2006年在比亚韦斯托克医科大学法医学系收集的尸检记录的回顾，呈现观察结果和结论。
评估标准包括性别、年龄、酒精含量、碳氧血红蛋白浓度和中毒部位。采用沃尔夫法测定碳氧血红蛋白水平。
在总共1331例尸检中，报告了66例（4.96%）一氧化碳中毒致死病例，其中女性11例，男性55例（分别占16.7%和83.3%）。中毒的主要原因是公寓、房屋和农场建筑火灾（80.3%）。发现中毒发生率存在明显的季节性模式，秋冬季节显著增加。女性和男性的平均碳氧血红蛋白浓度分别为73.9%和56.3%。碳氧血红蛋白浓度最低值（46%）出现在0 - 10岁年龄组，最高值（75.5%）出现在41 - 50岁年龄组，这与之前报道的值相符。死亡者包括23名清醒者（34.8%），平均碳氧血红蛋白浓度为58.5%，以及43名非清醒者（65.1%），平均碳氧血红蛋白浓度为57.0%。非清醒死亡者的比例与之前报道的值相符。碳氧血红蛋白浓度最高值——分别为67.2%和58.4%，分别出现在酒精含量范围为千分之3.1 - 4.0和千分之1.1 - 2.0时，这仅部分与之前的结果相符。
