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607例中毒死亡尸体解剖案例的对比分析

[Comparative analysis of 607 autopsy cases of poisoning death].

作者信息

Liang Man, Zheng Na, Zhou Lan, Liu Qian, Zhang Hai-Dong, Zhuo Luo, Liu Yan, Huang Guang-Zhao, Liu Liang

机构信息

Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Fa Yi Xue Za Zhi. 2011 Jun;27(3):200-4.

Abstract

OBJECTIVE

To provide references for forensic expertise by investigating the kinds of toxicant, routes of exposure and manners of poisoning deaths, etc.

METHODS

Six hundred and seven autopsy cases of poisoning deaths from 1957 to 2008 in Department of Forensic Medicine, Tongji Medical College (Tongji Forensic Science Identification Center of Hubei), were comparatively reviewed.

RESULTS

In 218 cases from 1999 to 2008, more than 50% of decedents were male in the ages of 30-49. The toxicants are usually taken orally and the most common manner of death was accidental. The common substances involved in poisoning death were rodenticide, poisoning gas and insecticide. Compared to the data of 1983-1998 and 1957-1982, the common toxic agents had changed significantly. The number of cases involving insecticide and cyanide poisoning decreased in recent years, and the number of cases of rodenticide, poisoning gas, alcohols poisoning displayed an increase tendency, especially for drugs abuse.

CONCLUSION

Poisoning deaths of pesticides remain a major public health problem for a long time and the awareness of prevention need to be raised, especially for the prevention of deaths from multiple poisons.

摘要

目的

通过调查中毒死亡的毒物种类、接触途径及中毒方式等,为法医鉴定提供参考。

方法

对1957年至2008年在华中科技大学同济医学院法医学系(湖北同济法医学司法鉴定中心)进行尸检的607例中毒死亡案例进行回顾性分析。

结果

在1999年至2008年的218例案例中,超过50%的死者为30至49岁男性。毒物通常经口服摄入,最常见的死亡方式为意外中毒。中毒死亡涉及的常见物质为灭鼠药、中毒气体和杀虫剂。与1983年至1998年以及1957年至1982年的数据相比,常见毒物种类发生了显著变化。近年来,涉及杀虫剂和氰化物中毒的案例数量减少,而灭鼠药、中毒气体、酒精中毒的案例数量呈上升趋势,尤其是药物滥用情况。

结论

农药中毒死亡长期以来仍是一个主要的公共卫生问题,需要提高预防意识,特别是预防多种毒物致死的情况。

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