Hashimoto Y, Moriya F, Miyaishi S, Ishizu H
Department of Legal Medicine, Okayama University Medical School, Japan.
Nihon Hoigaku Zasshi. 1990 Dec;44(5-6):475-80.
A peculiar case of town-gas intoxication occurring to a family is reported. The victims were a 56-year-old man, his 52-year-old wife and his 20-year-old daughter. They were found in the room at third floor of an apartment house made of reinforced concrete. Although the man has already died, his wife and daughter were comatose. From the autopsy findings, the postmortem interval of the corpse was presumably 3-4 days and CO-Hb concentrations in left and right ventricular blood were 60.7 and 62.2%, respectively. The typical components of town-gas, methane, ethylene and ethane, were detected in air of lung and in several organs. The cause of death of man was CO intoxication due to town-gas. After a short duration of recovery of consciousness by general emergency treatment, his wife relapsed into a coma. The bilateral necroses in globus pallidus and nucleus caudatus of his daughter were confirmed by MRI and CT. Although she could recover from a coma by emergency treatment, amnesia and intelligence disorder have remained. Decubital ulcers were recognized on the backs of bodies of wife and daughter, but not on that of the corpse. The leak volume of town-gas from the gas-cooker was 0.430-0.434 m3 an hour, which was nearly equal to 0.0258-0.0260 m3 of CO volume an hour. CO concentration in the room can increase at the rate of 0.03% an hour in the condition of uniform diffusion of town-gas.(ABSTRACT TRUNCATED AT 250 WORDS)
报告了一起发生在一个家庭中的城镇煤气中毒特殊案例。受害者是一名56岁男子、他52岁的妻子和20岁的女儿。他们在一栋钢筋混凝土结构公寓楼的三楼房间被发现。尽管该男子已经死亡,但他的妻子和女儿处于昏迷状态。根据尸检结果,尸体的死后间隔时间大概为3至4天,左右心室血液中的碳氧血红蛋白浓度分别为60.7%和62.2%。在肺部空气和几个器官中检测到了城镇煤气的典型成分,即甲烷、乙烯和乙烷。该男子的死因是城镇煤气导致的一氧化碳中毒。经过一般急救治疗,他的妻子短暂恢复意识后又陷入昏迷。通过核磁共振成像(MRI)和计算机断层扫描(CT)证实他女儿双侧苍白球和尾状核坏死。尽管经过急救治疗她能从昏迷中苏醒,但仍存在失忆和智力障碍。在妻子和女儿身体背部发现了褥疮,但尸体上没有。煤气灶的城镇煤气泄漏量为每小时0.430至0.434立方米,几乎等同于每小时0.0258至0.0260立方米的一氧化碳量。在城镇煤气均匀扩散的情况下,房间内一氧化碳浓度每小时可增加0.03%。(摘要截选至250字)