Okuda Katsuhiro, Maseda Chikatoshi, Asari Masaru, Isozaki Shotaro, Kiya Hiroshi, Yajima Daisuke, Shiono Hiroshi, Shimizu Keiko
Department of Legal Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa 078-8510, Japan.
Department of Legal Medicine, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa 078-8510, Japan.
Leg Med (Tokyo). 2016 Mar;19:83-7. doi: 10.1016/j.legalmed.2015.08.003. Epub 2015 Aug 21.
Blood and tissue samples from a forensic autopsy of a man in his late 60s, who developed dementia and died of multiple head traumas due to a fall from a moving vehicle, contained certain amounts of n-butane and i-butane. The concentration of n-butane was in the range of 0.48-70.5 μL/g, which would be considered as toxic or lethal levels. We had to distinguish whether the cause of his unexplained behavior was due to his pre-existing condition (dementia), or from a confused state induced by butane abuse. No traces of butane use were found at the scene. Police investigation revealed that a propellant used in an anticontagious plugging spray had been administered to him during a postmortem treatment in the emergency hospital. In order to prove the postmortem butane diffusion had resulted from the spray administration and to estimate the diffused concentration, experimental simulation was conducted by using rats. As a result of postmortem treatment with the spray, n-butane at concentrations of 0.54-15.5 μL/mL or g were found in the rat blood and tissues. In this case, we provided further evidence that the postmortem butane diffusion, caused by using the anticontagious plugging spray containing butane gas as a propellant administered to a cadaver during a postmortem procedure prior to forensic autopsy, should be distinguished from cases of actual butane poisoning.
一名60多岁的男子进行法医尸检,该男子患有痴呆症,因从行驶的车辆上坠落导致多处头部创伤死亡,其血液和组织样本中含有一定量的正丁烷和异丁烷。正丁烷浓度在0.48 - 70.5微升/克范围内,这将被视为有毒或致死水平。我们必须区分他行为异常的原因是由于他先前存在的疾病(痴呆症),还是由于丁烷滥用导致的意识模糊状态。现场未发现使用丁烷的痕迹。警方调查显示,在急诊医院进行尸检处理时,一种用于防传染堵塞喷雾的推进剂被施用于他。为了证明尸检后丁烷扩散是由喷雾施用所致,并估算扩散浓度,使用大鼠进行了实验模拟。用喷雾进行尸检处理后,在大鼠血液和组织中发现了浓度为0.54 - 15.5微升/毫升或克的正丁烷。在这种情况下,我们进一步证明,在法医尸检前的尸检程序中,向尸体施用含有丁烷气体作为推进剂的防传染堵塞喷雾所导致的尸检后丁烷扩散,应与实际丁烷中毒情况区分开来。