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急性酒精中毒致死的法医学鉴定:三例报告及文献综述

Forensic appraisal of death due to acute alcohol poisoning: three case reports and a literature review.

作者信息

Wang Hui, Xu Hongmei, Li Wencan, Li Beixu, Shi Qun, Ma Kaijun, Xiao Bi, Chen Long

机构信息

Department of Forensic Medicine, School of Basic Medical Sciences, Fudan University, Shanghai, China.

Institute of Criminal Scientific Technology, Shanghai Public Security Bureau, Pudong Branch, Shanghai, China.

出版信息

Forensic Sci Res. 2019 Mar 18;5(4):341-347. doi: 10.1080/20961790.2019.1572259.

DOI:10.1080/20961790.2019.1572259
PMID:33457053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7781983/
Abstract

Death due to acute alcohol poisoning lacks specific anatomical characteristics, compared with other deaths due to drug poisoning. We report three forensic cases of death from acute alcohol poisoning due to inhibition of the respiratory centre and eventual asphyxia. Blood alcohol concentrations in the three fatalities were 5.28, 3.33 and 3.78 mg/mL, respectively. Lethal doses and blood alcohol concentrations showed differences between individuals. Detailed auxiliary tests besides autopsy were undertaken. These cases show that forensic scientists should exclude other causes of death, combine the autopsy with auxiliary tests, and then make an appraisal.

摘要

与其他药物中毒导致的死亡相比,急性酒精中毒致死缺乏特定的解剖学特征。我们报告了3例因呼吸中枢抑制最终窒息导致急性酒精中毒死亡的法医案例。3例死亡者的血液酒精浓度分别为5.28、3.33和3.78毫克/毫升。致死剂量和血液酒精浓度存在个体差异。除尸检外还进行了详细的辅助检查。这些案例表明,法医应排除其他死因,将尸检与辅助检查相结合,然后进行鉴定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/690f909115e4/TFSR_A_1572259_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/208b072196f7/TFSR_A_1572259_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/c3a2b73d249c/TFSR_A_1572259_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/690f909115e4/TFSR_A_1572259_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/208b072196f7/TFSR_A_1572259_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/c3a2b73d249c/TFSR_A_1572259_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd8/7781983/690f909115e4/TFSR_A_1572259_F0003_C.jpg

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本文引用的文献

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A singular case of asphyxia by choking on a handkerchief: accidental event or suicide to "shut-up" spirits.一例因手帕窒息导致的窒息罕见病例:意外事件还是为“让鬼魂闭嘴”而自杀。
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