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[吸入性氢氰酸与一氧化碳联合中毒的病因]

[Etiology of combined inhalational hydrocyanic acid and carbon monoxide poisoning].

作者信息

Sigrist T, Dirnhofer R

出版信息

Arch Kriminol. 1979 May-Jun;163(5-6):145-59.

PMID:227339
Abstract

A young man was found dead in a kitchen, that was partly burnt. Autopsy revealed, as cause of death, a combined intoxication following inhalation of carbon monoxide and hydrocyanic acid. Own investigations on the pyrolysis of pieces of furniture found in the kitchen (plastic plates containing melamine and plates containing formaldehyde) showed, that hydrocyanic acid was liberated through combustion of such substances and inhaled by the victim. The poisoning picture is discussed, and discussion includes especially considerations on the peculiar sensitivity of the brain toward the action of hydrocyanic acid and the relative insensitivity of the heart muscle. It is thought that the cause of such sensitivity difference lies in the physiological differences of the intracellular energy production. Finally the dangers of combustion gases developing from burning plastic materials are reemphasized.

摘要

一名年轻男子被发现死于一间部分被烧毁的厨房。尸检显示,死因是吸入一氧化碳和氢氰酸导致的混合中毒。对在厨房发现的家具碎片(含三聚氰胺的塑料盘子和含甲醛的盘子)进行热解的自行调查表明,此类物质燃烧会释放氢氰酸并被受害者吸入。文中讨论了中毒情况,尤其探讨了大脑对氢氰酸作用的特殊敏感性以及心肌相对不敏感的问题。认为这种敏感性差异的原因在于细胞内能量产生的生理差异。最后再次强调了燃烧塑料材料产生的燃烧气体的危险性。

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1
[Etiology of combined inhalational hydrocyanic acid and carbon monoxide poisoning].[吸入性氢氰酸与一氧化碳联合中毒的病因]
Arch Kriminol. 1979 May-Jun;163(5-6):145-59.
2
[Detection of combined hydrocyanic acid-carbon monoxide poisoning in indoor fires].[室内火灾中氢氰酸-一氧化碳联合中毒的检测]
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[Development of carbon monoxide and hydrocyanic acid in automobile fires and their forensic significance].[汽车火灾中一氧化碳和氢氰酸的产生及其法医学意义]
Versicherungsmedizin. 1993 Feb 1;45(1):20-2.
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Effect of combined exposure to carbon monoxide and cyanides in selected forensic cases.特定法医案例中一氧化碳与氰化物联合暴露的影响
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[Significance of hydrocyanic acid formation during fires].[火灾期间氢氰酸形成的意义]
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[Influence of inhaling carbon monoxide-containing gas in fire fatalities--an investigation of forensic autopsy cases].[火灾死亡案例中吸入含一氧化碳气体的影响——法医尸检案例调查]
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引用本文的文献

1
A study on the combined action of CO and HCN in terms of concentration-time products.一项关于一氧化碳和氰化氢浓度-时间乘积联合作用的研究。
Z Rechtsmed. 1981;86(4):287-94. doi: 10.1007/BF00200672.