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[自杀性注射硫喷妥钠后出现的罕见内膜及心内膜损伤]

[Unusual intimal and endocardial damage following suicidal infusion of thiobutabarbital].

作者信息

Lieske K, Püschel K, Schmoldt A

机构信息

Institut für Rechtsmedizin der Universität Hamburg, Bundesrepublik Deutschland.

出版信息

Z Rechtsmed. 1987;99(3):197-203. doi: 10.1007/BF00201251.

Abstract

A suicide is reported that was carried out by i.v. infusion of thiobutabarbital. The most impressive findings were macroscopical alterations in the venous endothelium, the endocardium of the right atrium and ventricle, and the endothelium of the pulmonary artery. The same local cytotoxic side effects could be reproduced in animal experiments. The lesions are most striking after circulatory stagnation in the agonal and supravital period when highly concentrated thiobarbiturates come into contact with the endothelium.

摘要

据报道,有一例自杀事件是通过静脉输注硫喷妥钠实施的。最显著的发现是静脉内皮、右心房和心室的心内膜以及肺动脉内皮的宏观改变。在动物实验中可以重现相同的局部细胞毒性副作用。当高度浓缩的硫代巴比妥酸盐在濒死期和濒死后与内皮接触时,在循环停滞之后,这些损伤最为明显。

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