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[一例使用便携式烧烤架进行自杀性一氧化碳中毒的罕见病例]

[An unusual case of suicidal carbon monoxide poisoning committed using a portable barbecue grill].

作者信息

Bolechała Filip, Strona Marcin

机构信息

Katedry i Zakładu Medycyny Sadowej UJ CM, Kraków.

出版信息

Arch Med Sadowej Kryminol. 2013 Jan-Mar;63(1):15-20.

Abstract

Fatal carbon monoxide poisoning is relatively often encountered in medico-legal practice. Although we usually deal with events of an accidental nature, cases of suicidal character are also quite common, both in Poland and in other European countries. The source of a poisonous gas that is used by a suicide to take his life are usually exhaust fumes from cars and home gas water-heaters that are released in closed spaces. In the present report, the authors present an atypical case--the only such instance in the history of the Krakow Department--where a high carbon monoxide concentration level was achieved by burning briquetted coal in a typical portable barbecue grill. A 65-year old male lit the grill in a room locked from inside, where he had previously sealed all cracks and vents; he left a written message by the entrance where he warned his flatmates about the presence of gas. The investigation determined that the predominant underlying reason of his committing suicide were health problems. As it follows from the analysis of literature on the subject, despite extensively available materials, such a suicide method is exceptionally rare in the European or American culture, where isolated cases only are presented. On the other hand, the authors emphasize the fact that within the last score of years, using barbecue grills in suicidal poisoning has become exceedingly common in the Far East countries. The present report points to certain historical and cultural determinants that may affect such a distinct geographical polarization of the discussed method being used in some Asian countries and refers to a widely discussed by specialists significant role of mass media in popularization of such a suicide method.

摘要

致命性一氧化碳中毒在法医学实践中较为常见。尽管我们通常处理的是意外事件,但自杀性质的案例在波兰和其他欧洲国家也相当普遍。自杀者用于结束生命的有毒气体来源通常是封闭空间内汽车排出的废气和家用燃气热水器释放的气体。在本报告中,作者呈现了一个非典型案例——这是克拉科夫部门历史上唯一的此类案例,即通过在典型的便携式烧烤架中燃烧型煤达到了高浓度一氧化碳水平。一名65岁男性在一间从内部锁上的房间里点燃了烧烤架,此前他已密封了所有裂缝和通风口;他在入口处留下了书面信息,警告室友有气体存在。调查确定他自杀的主要潜在原因是健康问题。从对该主题文献的分析来看,尽管有大量相关资料,但这种自杀方式在欧洲或美国文化中极为罕见,仅有个别案例报道。另一方面,作者强调了这样一个事实,即在过去二十年里,在远东国家,使用烧烤架进行自杀中毒已变得极为普遍。本报告指出了某些可能影响在一些亚洲国家使用这种自杀方式出现明显地理两极分化的历史和文化因素,并提及了专家们广泛讨论的大众媒体在推广这种自杀方式中所起的重要作用。

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