Škavić Petar, Duraković Zijad, Nestić Marina
Department of Forensic Medicine and Criminology, University of Zagreb, School of Medicine, Zagreb, Croatia.
Medical Department, The World Life Institute, Waterport, NY.
J Forensic Sci. 2018 Jan;63(1):321-325. doi: 10.1111/1556-4029.13518. Epub 2017 Apr 13.
This study presents two cases of lethal bentazone poisonings, their clinical presentation, the course of the disease and the autopsy findings. The first is a 50-year-old male who had sprayed corn with a solution of bentazone and was admitted to the hospital with sweating, fever, nausea, vomiting of aqueous and hemorrhagic content, and bloody, watery stools. He was treated according to the symptoms including extracorporeal hemodialysis, but eventually suffered from multiorgan failure (acute respiratory failure, acute liver failure, coagulopathy, acute renal failure, metabolic acidosis, and gastrointestinal bleeding) and died 11.35 h after admittance. The cause of death was probable bentazone intoxication. The second case, also a male, aged 49 who committed suicide by ingesting a bentazone solution. He was transferred to the hospital prostrated and cyanotic and died 14.15 h after admittance despite all efforts by the hospital staff. The cause of death was acute bentazone intoxication.
本研究报告了两例致死性杀草丹中毒病例，包括其临床表现、病程及尸检结果。第一例是一名50岁男性，他用杀草丹溶液喷洒玉米后入院，症状包括出汗、发热、恶心、呕吐水样及血性物，还有便血、水样便。对其进行了包括体外血液透析在内的对症治疗，但最终出现多器官功能衰竭（急性呼吸衰竭、急性肝衰竭、凝血障碍、急性肾衰竭、代谢性酸中毒及胃肠道出血），入院11.35小时后死亡。死因可能为杀草丹中毒。第二例也是男性，49岁，吞服杀草丹溶液自杀。他被送至医院时虚脱且面色发绀，尽管医院工作人员全力抢救，仍于入院14.15小时后死亡。死因是急性杀草丹中毒。
