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甲醇中毒致死:大体尸检及组织学检查结果

Death Following Methyl Alcohol Intoxication: Gross Autopsy and Histological Findings.

作者信息

Mileva Biliana, Dikov Tihomir, Goshev Metodi, Georgieva Mihaela, Tsranchev Ivan I, Angelov Martin, Alexandrov Alexandar, Ateriya Navneet, Ivanova Vesela

机构信息

Department of Forensic Medicine and Deontology, Medical University Sofia, Sofia, BGR.

Department of General and Clinical Pathology, University Hospital "Alexandrovska", Medical University of Sofia, Sofia, BGR.

出版信息

Cureus. 2024 Jul 27;16(7):e65498. doi: 10.7759/cureus.65498. eCollection 2024 Jul.

DOI:10.7759/cureus.65498
PMID:39188485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11345806/
Abstract

Methanol, or wood alcohol, is a clear liquid with a weak odor, slightly sweeter than ethanol, which is easily accessible. The last makes it a product of choice for intentional self-harm, severe intoxication, or even suicide. Accidental ingestion and homicidal usage are not exclusions. We present and discuss the case of a man in his 20s who was in continuous alcoholic intoxication until he finally abused with methanol and was admitted to a hospital, where he died six days later. When it comes to intoxication, there are often no apparent findings that could help in determining the cause and manner of death. The last is especially important in cases of delayed death when the toxicology results are negative.

摘要

甲醇,即木醇,是一种清澈的液体,气味微弱,比乙醇稍甜,且易于获取。后者使其成为故意自残、严重中毒甚至自杀的首选产品。意外摄入和他杀用途也并非罕见。我们呈现并讨论一名20多岁男性的病例,他一直处于酒精中毒状态,最终滥用甲醇并被送往医院,六天后在医院死亡。说到中毒,通常没有明显的发现可有助于确定死因和死亡方式。在毒理学结果为阴性的延迟死亡病例中,这一点尤为重要。

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Death Following Methyl Alcohol Intoxication: Gross Autopsy and Histological Findings.甲醇中毒致死:大体尸检及组织学检查结果
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本文引用的文献

1
An Autopsy Case Report of Homicide by Methanol Intoxication With Pinkish Bilateral Putamina.甲醇中毒致双侧苍白球呈粉红色的一例尸检案例报告。
Am J Forensic Med Pathol. 2023 Mar 1;44(1):55-58. doi: 10.1097/PAF.0000000000000790. Epub 2022 Aug 26.
2
Methanol Poisoning: An Autopsy-Based Study at the Tertiary Care Center of Uttarakhand, India.甲醇中毒:印度北阿坎德邦三级护理中心的一项基于尸检的研究
Cureus. 2022 May 28;14(5):e25434. doi: 10.7759/cureus.25434. eCollection 2022 May.
3
Transdermal Methanol Intoxication.经皮甲醇中毒。
Arch Iran Med. 2019 Nov 1;22(11):671-672.
4
Methanol intoxication with cerebral hemorrhage.甲醇中毒伴脑出血
Neurosciences (Riyadh). 2016 Jul;21(3):275-7. doi: 10.17712/nsj.2016.3.20150592.
5
Severe necrosis of oesophageal and gastric mucosa in fatal methanol poisoning.致命甲醇中毒患者食管和胃黏膜严重坏死。
Forensic Sci Int. 2012 Jul 10;220(1-3):e9-12. doi: 10.1016/j.forsciint.2012.01.033. Epub 2012 Mar 6.
6
Hemodialysis for methyl alcohol poisoning: a single-center experience.血液透析治疗甲醇中毒:单中心经验
Saudi J Kidney Dis Transpl. 2012 Jan;23(1):37-43.
7
Fatal methanol poisoning: features of liver histopathology.
Toxicol Ind Health. 2013 Mar;29(2):136-41. doi: 10.1177/0748233711427050. Epub 2011 Nov 14.
8
Homicidal methanol poisoning in a child.儿童蓄意甲醇中毒。
J Anal Toxicol. 2011 Sep;35(7):524-8. doi: 10.1093/anatox/35.7.524.
9
Portrait of a methanol-intoxicated brain.一幅甲醇中毒大脑的图像。
Am J Med. 2011 Feb;124(2):125-7. doi: 10.1016/j.amjmed.2010.09.001. Epub 2010 Oct 14.
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Methanol poisoning.
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