Huston Butch, Froloff Victor, Mills Kelly, McGee Michael
Ramsey County Medical Examiner's Office, 300 University Avenue, St. Paul, MN, 55101.
J Forensic Sci. 2013 Nov;58(6):1651-3. doi: 10.1111/1556-4029.12295. Epub 2013 Oct 10.
A 55-year-old man with a medical history of tobacco use suddenly collapsed while power washing an empty indoor pool in a hotel. The decedent was transported to the local hospital where he was pronounced. A postmortem examination revealed atherosclerotic heart disease and bilateral pulmonary edema and congestion. A postmortem blood carbon monoxide (CO) level was 27% saturation, and a CO performed on hospital admission blood was 49% saturation. CO poisoning is a common cause of toxicological morbidity and mortality in the United States. The circumstances most often occur in an enclosed environment and may be intentional or unintentional. CO poisoning has been reported in open, well-ventilated spaces, but rarely results in death. A warning label was present on the engine clearly stating the dangers of CO emission. However, there was a false sense of security due to the large size of the pool room and the presence of industrial blowers that were being used for ventilation.
一名有吸烟史的55岁男性在酒店清洗室内空游泳池时突然晕倒。死者被送往当地医院，在那里被宣布死亡。尸检显示患有动脉粥样硬化性心脏病以及双侧肺水肿和充血。尸检时血液中一氧化碳（CO）饱和度为27%，入院时血液中的CO饱和度为49%。在美国，CO中毒是毒理学发病和死亡的常见原因。这种情况最常发生在封闭环境中，可能是故意的，也可能是无意的。虽然在开放、通风良好的空间也有CO中毒的报道，但很少导致死亡。发动机上有一个警告标签，清楚地说明了CO排放的危险。然而，由于游泳池房间面积大，且有用于通风的工业鼓风机，人们产生了一种虚假的安全感。
