Byard Roger W, Kenneally Michaela
Forensic Science SA, The University of Adelaide, Adelaide, Australia.
School of Medicine, Level 3 Medical School North Building, The University of Adelaide, Frome Road, Adelaide, 5005, Australia.
Forensic Sci Med Pathol. 2017 Sep;13(3):359-361. doi: 10.1007/s12024-017-9855-8. Epub 2017 Mar 15.
A 39-year-old man died of multi-organ failure complicating mixed drug toxicity that included methadone, oxazepam, oxycodone and nitrazepam. His past medical history involved alcohol and poly-substance abuse with chronic self-harm and suicidal ideation. There had been multiple hospital admissions for drug overdoses. At autopsy the most unusual finding was of two packages of 10 tablets each, wrapped in thin plastic film within the rectum. The insertion of drugs into body orifices and cavities has been termed body pushing to distinguish it from body packing where illicit drugs are wrapped and swallowed for transport and smuggling, and body stuffing where small amounts of loosely wrapped or unwrapped drugs are swallowed to conceal evidence from police. This case demonstrates that body pushing may not always involve illicit drugs or attempted concealment from police or customs officials. It appears that the drugs had been hidden to ensure an additional supply during the time of residence in hospital. The extent to which body pushing is currently being used by patients to smuggle drugs into secure medical facilities is yet to be determined.
一名39岁男子死于多器官功能衰竭，这是由美沙酮、奥沙西泮、羟考酮和硝西泮混合药物中毒引发的并发症。他既往有酒精和多种物质滥用史，伴有慢性自残行为和自杀念头。他曾多次因药物过量入院治疗。尸检时最不寻常的发现是在直肠内有两包，每包10片，用薄塑料薄膜包裹着。将药物插入体腔和孔窍的行为被称为“体内推送”，以区别于“体内填充”（将非法药物包裹后吞服以运输和走私）和“体内填塞”（吞咽少量松散包裹或未包裹的药物以躲避警方检查）。该病例表明，体内推送不一定总是涉及非法药物或企图躲避警方或海关人员检查。这些药物似乎是为了确保在住院期间能有额外的供应而藏起来的。目前患者利用体内推送将药物偷运进安全医疗设施的程度尚待确定。
