Bonte W, Jacob B
Institut für Rechtsmedizin, Heinrich-Heine-Universität, Dusseldorf, Allemagne.
Acta Med Leg Soc (Liege). 1990;40:139-51.
The paper reports on 78 cases of fatal choking observed in the Institute of Legal Medicine, University of Duesseldorf, since 1947. The age median of all victims was 53 years. There were 24 females among the victims. Only in one child a solitary occlusion of the glottis by a collar-button was found. In all other cases bolus material was distributed over more than one region, e.g. larynx, glottis and trachea. In 50 victims single pieces of meat, ham, herring etc. were found. In the remaining 28 cases the bolus material was roughly chewed. More than 80 per cent of cases occurred in restaurants and lodgings, only small numbers in public places, shops and hospitals. With the exception of three children, one patient with a partial horizontal resection of the larynx and some mentally handicapped persons all bolus death victims were heavily drunk (median BAC 2.1 Promille). The possible pathomechanisms were discussed.
该论文报道了自1947年以来在杜塞尔多夫大学法医学研究所观察到的78例致命性窒息案例。所有受害者的年龄中位数为53岁。受害者中有24名女性。仅在一名儿童中发现了因领扣导致的声门孤立性阻塞。在所有其他案例中，食团物质分布在多个区域，如喉、声门和气管。在50名受害者中发现了单块的肉、火腿、鲱鱼等。在其余28例中，食团物质被粗略咀嚼。超过80%的案例发生在餐馆和住宿场所，只有少数发生在公共场所、商店和医院。除了三名儿童、一名接受喉部部分水平切除术的患者和一些智力障碍者外，所有因食团导致死亡的受害者都严重醉酒（血液酒精浓度中位数为2.1‰）。文中讨论了可能的发病机制。
