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2008 - 2012年丹麦木炭燃烧导致一氧化碳中毒的法医学方面:一项基于尸检的研究

Forensic aspects of carbon monoxide poisoning by charcoal burning in Denmark, 2008-2012: an autopsy based study.

作者信息

Nielsen Pia Rude, Gheorghe Alexandra, Lynnerup Niels

机构信息

Department of Forensic Medicine, Faculty of Health Sciences, University of Copenhagen, Frederik V's Vej 11, 2100, Copenhagen, Denmark,

出版信息

Forensic Sci Med Pathol. 2014 Sep;10(3):390-4. doi: 10.1007/s12024-014-9574-3. Epub 2014 Jul 8.

DOI:10.1007/s12024-014-9574-3
PMID:25002407
Abstract

Carbon monoxide (CO) inhalation is a well-known method of committing suicide. There has been a drastic increase in suicide by inhalation of CO, produced from burning charcoal, in some parts of Asia, and a few studies have reported an increased number of these deaths in Europe. CO-related deaths caused by charcoal burning have, to our knowledge, not been recorded in the Danish population before. In this retrospective study we present all autopsied cases of CO poisoning caused by charcoal burning in the period 2008-2012. 19 autopsied cases were identified, comprising 11 suicides, 4 accidents, and 2 cases of maternal/paternal filicide-suicide. The mean age of decedents was 38.2 years and the majority of the decedents were men. In 16 cases carboxyhemoglobin levels were above 50 % and in 14 cases we found distinctive cherry red livor mortis. Various concentrations of ethanol and drugs were found in 9 cases. Data suggest that this method of death has increased significantly in Denmark. Therefore, it is highly relevant to draw attention to the subject, to increase awareness as well as prevent future escalation.

摘要

吸入一氧化碳(CO)是一种广为人知的自杀方式。在亚洲的一些地区,因吸入燃烧木炭产生的一氧化碳而自杀的情况急剧增加,并且有一些研究报告称在欧洲此类死亡人数也有所上升。据我们所知,丹麦此前尚未记录过因燃烧木炭导致的与一氧化碳相关的死亡案例。在这项回顾性研究中,我们呈现了2008年至2012年期间所有因燃烧木炭导致一氧化碳中毒的尸检案例。共识别出19例尸检案例,其中包括11例自杀、4例意外事故以及2例母/父杀子自杀案例。死者的平均年龄为38.2岁,且大多数死者为男性。16例案例中碳氧血红蛋白水平高于50%,14例案例中我们发现了典型的樱桃红色尸斑。9例案例中检测出了不同浓度的乙醇和药物。数据表明,这种死亡方式在丹麦显著增加。因此,高度有必要关注该主题,提高认识并防止此类情况未来进一步升级。

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