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1984年和1985年丹麦15至34岁年龄段的致命中毒情况。一项特别针对吸毒成瘾者的法医学研究。

Fatal intoxications in the age group 15-34 years in Denmark in 1984 and 1985. A forensic study with special reference to drug addicts.

作者信息

Steentoft A, Kaa E, Worm K

机构信息

Institute of Forensic Chemistry, University of Copenhagen, Denmark.

出版信息

Z Rechtsmed. 1989;103(2):93-100. doi: 10.1007/BF01258912.

Abstract

This survey deals with the Danish part of a study on fatal intoxications conducted in the Nordic countries in 1984 and 1985 with special reference to drug addicts. There were 315 cases of fatal intoxications in people 15-34 years of age. These were examined at the Forensic Institutes in Denmark and described with reference to cause of death, sex, age and drug addiction. Of the deceased, 194 were drug addicts according to a specific definition of this term. Women accounted for 28% of all the fatalities investigated in the study and 24% of those in addicts. More than 90% of the deaths were caused by drugs, with ethanol as a contributory factor in approximately 40% of cases. Deaths caused by heroin/morphine predominated, causing 50% of the deaths among drug addicts, but legal drugs, such as dextropropoxyphene, methadone and ketobemidone were also frequent causes of death in this group. In half the cases the concentration of morphine in blood following injection of heroin/morphine was found to be equal to or less than 0.5 mumol/kg, and in only about one-tenth of cases was the blood concentration above 2.0 mumol/kg.

摘要

这项调查涉及1984年和1985年在北欧国家开展的一项关于致命中毒的研究中的丹麦部分,特别提及了吸毒成瘾者。15至34岁人群中有315例致命中毒案例。这些案例在丹麦的法医研究所进行了检查,并根据死因、性别、年龄和吸毒成瘾情况进行了描述。根据该术语的特定定义,在死者中,有194人是吸毒成瘾者。在该研究调查的所有死亡案例中,女性占28%,在吸毒成瘾者的死亡案例中占24%。超过90%的死亡是由药物导致的,乙醇在约40%的案例中作为促成因素。由海洛因/吗啡导致的死亡占主导,占吸毒成瘾者死亡案例的50%,但合法药物,如右丙氧芬、美沙酮和凯托米酮也是该群体中常见的死亡原因。在一半的案例中,注射海洛因/吗啡后血液中的吗啡浓度被发现等于或低于0.5微摩尔/千克,只有约十分之一的案例中血液浓度高于2.0微摩尔/千克。

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