Kettner Mattias, Ramsthaler Frank, Juhnke Christian, Bux Roman, Schmidt Peter
Departments of Forensic Medicine, Forensic Toxicology, and Forensic Molecular Biology, Institute of Forensic Medicine, Goethe-University Frankfurt/M., Frankfurt/M, Germany; Department of Experimental Forensic Medicine, Institute of Forensic Medicine, University of Saarland Medical School, Homburg/Saarland, Germany.
J Forensic Sci. 2013 Mar;58(2):556-8. doi: 10.1111/1556-4029.12058. Epub 2013 Jan 14.
Carbon dioxide (CO2 ) is an odorless constituent of air. Higher concentrations can be detected in geothermal and automotive emissions, fermentation, and sublimation of dry ice. An unskilled worker entered a fermentation tank to clean it, which had not been done for about 5 months allowing for high concentrations of CO2 to build up. A second worker entered the tank to rescue the first one. Shortly after both were found the first worker was rescued directly whereas the tank had to be rotated to pull the second worker out. Cardiopulmonary resuscitation was successful only for the first worker. Medico-legal autopsy showed bruises, hematoma, myocardial hemorrhage, and edema of the lungs. The right lung was vacuum degassed in an argon atmosphere and quadrupole-mass-spectrometry showed an elevated CO2 content in lung gases. Thus, CO2 intoxication/asphyxia in a vitiated atmosphere due to fermentation of wine mash was established as the cause of death.
二氧化碳（CO₂）是空气的一种无味成分。在地热排放、汽车尾气、发酵过程以及干冰升华过程中可检测到较高浓度的二氧化碳。一名非技术工人进入一个发酵罐进行清理，该发酵罐大约5个月未清理，导致二氧化碳浓度积聚。第二名工人进入罐内营救第一名工人。两人被发现后不久，第一名工人被直接救出，而罐体必须转动才能将第二名工人拉出。心肺复苏仅对第一名工人成功。法医尸检显示有瘀伤、血肿、心肌出血和肺水肿。右肺在氩气气氛中进行真空脱气，四极质谱显示肺气体中的二氧化碳含量升高。因此，确定因葡萄酒醪发酵导致的有害环境中的二氧化碳中毒/窒息为死因。
