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因吸入工业有毒氰化物导致的意外死亡:一例尸检病例报告

Accidental Deaths Due to Toxic Industrial Cyanide Inhalation: An Autopsy Case Report.

作者信息

Jadav Devendra, Saraf Ashish, Shekhawat Raghvendra S, Kanchan Tanuj, Nalwa Aasma

机构信息

Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, IND.

Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Gorakhpur, IND.

出版信息

Cureus. 2022 May 26;14(5):e25376. doi: 10.7759/cureus.25376. eCollection 2022 May.

Abstract

Autopsies of accidental deaths in industrial scenarios have always been a challenging job for a forensic pathologist. Industries that employ chemical agents pose a unique risk, especially when safety protocols are ignored. Exposure to cyanide salts creates an additional risk since death may occur quickly. We present one such incident of the accidental deaths of three industrial workers, which could have been prevented if proper safety measures had been followed. Four workers fell unconscious while cleaning the electroplating chamber of the handicraft industry. Three were declared dead on arrival at the emergency department, while one survived. Autopsy of all three victims showed similar findings of pink-colored post-mortem staining and multiple petechial hemorrhages over the heart and lungs. After histopathological and chemical analysis, the cause of death was opined to be due to complications of cyanide poisoning. In accidental industrial deaths, the forensic pathologist should consider the possibility of death due to toxic chemicals, such as cyanide, used in the manufacturing process. The industrial personnel should be educated about the risks involved, and proper use of safety equipment should be encouraged to avoid such hazardous outcomes. Additionally, the people employed in the autopsy of the deaths related to chemical disasters should ensure their personal safety and preventive measures.

摘要

对法医病理学家来说,对工业场景中意外死亡事件进行尸检一直是一项具有挑战性的工作。使用化学制剂的行业存在独特风险,尤其是在安全规程被忽视的情况下。接触氰化物盐会带来额外风险,因为死亡可能迅速发生。我们呈现这样一起三名产业工人意外死亡的事件,如果当时遵循了适当的安全措施,这本可避免。四名工人在清洁手工业的电镀室时失去意识。三人在抵达急诊科时被宣布死亡,一人幸存。对所有三名受害者的尸检显示出类似的死后染色呈粉红色以及心脏和肺部有多处瘀点性出血的结果。经过组织病理学和化学分析,死因被判定为氰化物中毒并发症。在工业意外死亡事件中,法医病理学家应考虑制造过程中使用的有毒化学物质(如氰化物)导致死亡的可能性。应让产业人员了解其中涉及的风险,并鼓励正确使用安全设备以避免此类危险后果。此外,从事与化学灾难相关死亡尸检工作的人员应确保自身安全并采取预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3433/9236664/8cb1ab5a1c48/cureus-0014-00000025376-i01.jpg

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